中国普外基础与临床杂志

中国普外基础与临床杂志

腹腔镜经屈氏韧带路径根治性前入路顺行模块化胰体尾癌切除术的临床应用

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目的 评价腹腔镜经屈氏韧带路径根治性前入路顺行模块化胰体尾癌切除术(L-RAMPS)的可行性和安全性。 方法 回顾性分析笔者所在单位于 2017 年 11 月收治的 1 例行 L-RAMPS 的胰腺癌患者的临床资料。 结果 该例患者的手术历时 255 min,术中出血量为 200 mL,未输血,术后无胰瘘、消化道出血、胃排空延迟等并发症发生。术后已获访 12 个月,无肿瘤复发或转移,继续随访。 结论 L-RAMPS 在严格选择的早期胰体尾癌患者中是安全可行的。

Objective To evaluate the feasibility and safety of laparoscopic radical antegrade modular pancreatosplenectomy(L-RAMPS)through the ligament of Treitz approach for pancreatic body and tail cancer. Methods On 13th November 2017, we select a patient with a suspicious malignant tumor in the body of pancreas but no evidence of metastasis or local invasion of the retroperitoneum for Laparoscopic antegrade modular pancreatosplenectomy through the ligament of Treitz approach. The time of operation, the estimated blood loss and post-operative complications were observed. Results The procedure was completed successfully in 255 min, and the estimated blood loss was 200 ml, there was no need of transfusion and no significant post-operational complications had been observed. No tumor recurrence or distal metastasis was found after a 12 month’s follow-up. Conclusion Laparoscopic radical antegrade modular pancreatosplenectomy(L-RAMPS) through the ligament of Treitz approach is a feasible and safe procedure for pancreatic body and tail malignant tumor in strictly selected patients.

关键词: 胰体尾腺癌; 根治性前入路顺行模块化胰体尾癌切除术; 腹腔镜; 屈氏韧带

Key words: adenocarcinomas of the left pancreas; radical antegrade modular pancreatosplenectomy; laparoscopy; the ligament of Treitz

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