胰腺假性囊肿25例报告.docVIP

胰腺假性囊肿25例报告 王品 伏洁 刘永永 康博雄 康迎新 樊勇 王琛 李徐生 兰州大学第二医院普外科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探讨腹腔镜下胰腺假性囊肿外引流术治疗胰腺假性囊肿的价值。方法 2012年7月2015年7月我院手术治疗25例胰腺假性囊肿, 21例胰腺假性囊肿未与主胰管相通者, 行腹腔镜下胰腺假性囊肿外引流术, 4例囊肿与主胰管相通且5 cm者, 行囊肿胃引流术或囊肿空肠Roux-Y吻合术。结果 腹腔镜下胰腺假性囊肿外引流术21例, 平均手术时间65.8 min (5588 min) , 平均出血量50 ml (2078 ml) , 无中转开腹, 平均住院时间8.5 d (713 d) 。囊肿胃引流术2例, 手术时间分别为72、75 min, 术中出血量分别为70、82 ml, 住院时间分别为7、7.5 d。囊肿空肠Roux-Y吻合术2例, 手术时间分别为112、122 min, 术中出血量分别为120、105 ml, 住院时间分别为9、9.5 d。23例随访624个月, 平均15个月, 无囊肿复发。结论 胰腺假性囊肿未与主胰管相通采用腹腔镜下胰腺假性囊肿外引流术可取得较好的效果。 关键词： 胰腺假性囊肿; 引流术; 腹腔镜; 作者简介：王品, E-mail:wangp0412@163.com 收稿日期：2017-04-04 Clinical Analysis of 25 Cases of Pancreatic Pseudocyst Wang Pin Fu Jie Liu Yongyong Department of General Surgery, Lanzhou University Second Hospital; Abstract： Objective To evaluate the value of laparoscopic extracorporeal drainage of pancreatic pseudocyst in the treatment of pancreatic pseudocyst. Methods Clinical data of 25 patients with pancreatic pseudocysts from July 2012 to July 2015 were retrospectively analyzed. For 21 patients with pancreatic pseudocyst not connecting with the main pancreatic duct, laparoscopic pancreatic pseudocyst external drainage was performed. For 4 patients with cysts connecting with the main pancreatic duct for more than5 cm, cyst gastric drainage or cyst jejunum Roux-Y anastomosis was performed. Results In 21 patients receiving laparoscopic pancreatic pseudocyst external drainage, the average operative time was 65. 8 min (range, 55-88 min) , the average bleeding was 50 ml (range, 20-78 ml) , and the average hospitalization time was 8. 5 days (7-13 days) . No conversion to open surgery was required. In 2 cases receiving cyst gastric drainage, the operation time was 72 and 75 min, the intraoperative blood loss was 70 and 82 ml, and the hospitalization time was 7 and 7. 5 d. In 2 cases receiving cyst jejunum Roux-Y anastomosis, the operation time was 112 and 122 min, intraoperative blood