中段胰腺切除治疗胰腺良性病变

Central pancreatectomy for benign pancreatic lesions

摘要:

目的：探讨胰腺中段切除术对胰腺良性疾病的处理方法与效果。
方法：回顾性分析12例胰腺中部良性疾病的临床特征、手术方式及疗效。7例胰岛细胞瘤及3例胰腺囊肿采用胰腺中段病灶及部分胰腺切除，胰腺近端断面缝合，胰腺远端断面胰腺与空肠行Roux-en-Y吻合。2例胰腺结石采用中部胰腺切除、取石，两侧断端胰腺与空肠行Roux-en-Y吻合。
结果：12例均治愈出院。无死亡，无胰瘘、出血、肠瘘等并发症。12例随访半年至3年，无腹痛、发热及低血糖等情况。
结论：胰腺中段切除是处理胰腺中部良性病变的一种安全有效的方法。

Abstract:

Objective:To explore the efficacy of central pancreatectomy for patients with benign pancreatic lesions.
Methods:The clinical charactesistics, operative methods and therapeutic results of twelve patients with benign pancreatic lesions were retrospectively analyzed.  Seven patents with islet cell tumor and 3 patients with true pancreatic cyst underwent central pancreatectomy, closure of the proximal pancreatic stump and Roux-en-Y anastomosis of the distal segment of pancreas; two patients with pancreatic calculi underwent calculi extraction, central pancreatectomy and Roux-en-Y pancreato-jejunostomy of the proximal and distal pancreatic segments.
Results:There were no deaths, pancreatic fistula or other complications in this series. No abdominal pain, fever or hypoglycemia at 6 montns to 3 years  follow-up period.
Conclusions:Central pancreatectomy is an effective method for treatment of patients with benign central pancreatic lesions.