腹腔镜胰体尾切除术与开腹胰体尾切除术临床疗效对比分析

发布时间：2018-05-28 05:37

本文选题：腹腔镜胰体尾切除术 + 开腹胰体尾切除术　；参考：《肝胆胰外科杂志》2014年06期

【摘要】：目的对比腹腔镜胰体尾切除术(laparoscopic distal pancreatectomy,LDP)与开腹胰体尾切除术(open distal pancreatectomy,ODP)的疗效,探讨腹腔镜胰体尾切除术的优缺点。方法回顾性分析2011年1月至2014年4月施行的17例腹腔镜胰体尾切除术患者与20例开腹胰体尾切除术患者的临床资料,对比两组患者的手术及术后情况。结果腹腔镜组术中出血量少于开腹组,差异具有统计学意义(P0.05);腹腔镜组术后肛门排气时间、禁食时间、住院时间较开腹组短,差异具有统计学意义(P0.05);腹腔镜组手术时间长于开腹组,差异具有统计学意义(P0.05);两组保脾率、术后并发症发生率差异无统计学意义(P0.05),开腹组5例胰漏,1例切口感染、1例肺部感染、1例腹腔感染,腹腔镜组4例胰漏。结论腹腔镜胰体尾切除术是安全可靠的,短期预后优于开腹组,值得临床进一步推广。
[Abstract]:Objective to compare the efficacy of laparoscopic distal pancreatectomies (LDPs) and open distal pancreatectomytomies (ODPs), and to explore the advantages and disadvantages of laparoscopic pancreatectomy. Methods the clinical data of 17 cases of laparoscopic pancreatectomy and 20 cases of open resection of body and tail of pancreas from January 2011 to April 2014 were retrospectively analyzed and compared between the two groups. Results the amount of intraoperative bleeding in the laparoscopic group was less than that in the laparotomy group, the difference was statistically significant (P 0.05), the time of anal exhaust, fasting and hospitalization in the laparoscopic group was shorter than that in the open group. The difference was statistically significant (P 0.05), the operative time in the laparoscopic group was longer than that in the open group (P 0.05), the rate of spleen preservation in the two groups was significantly higher than that in the laparotomy group. There was no significant difference in the incidence of postoperative complications (P 0.05). In the laparotomy group, there were 5 cases of pancreatic leakage, 1 case of incision infection, 1 case of pulmonary infection, 1 case of abdominal infection, and 4 cases of pancreatic leakage in laparoscopic group. Conclusion Laparoscopic pancreatectomy is safe and reliable, and the short-term prognosis is better than that of open group.
【作者单位】：金华市中心医院;浙江大学金华医院肝胆胰外科一区;
【基金】：浙江省医药卫生平台重点资助计划项目(2011ZDA029)
【分类号】：R657.5

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