前入路腹腔镜在治疗胰腺假性囊肿中的应用（附12例报告）

Anterior approach Laparoscopic cystogastrostomy in treatment of pancreatic pseudocyst (12 cases)

摘要:

探讨前入路腹腔镜下胰腺假性囊肿（PPC）胃吻合技术在治疗PPC手术中的可行性、安全性及其临床应用价值。方法?回顾性分析近年来收治的PPC患者12例，均实施前入路腹腔镜下囊肿胃吻合术。观察统计患者的手术时间、出血量、术后下床时间、术后恢复排气时间、并发症、住院时间及随访结果。结果?12例手术均腹腔镜下顺利完成无中转开腹。手术时间（70.0±15.0）min，出血量（70.0±18.0）ml，术后平均（1.0±0.0）d下床，术后平均（2.5±0.5）d排气，12例患者均顺利恢复，无胰漏、出血和胃瘘等严重并发症发生。术后平均住院时间为（8.0±1.5）d。术后平均随访1年，无发热腹痛、无胰腺炎、无糖尿病和肠粘连等并发症发生，无囊肿复发。术后体重较术前平均增加（6.0±1.0）kg。结论?前入路腹腔镜PPC胃吻合术是安全可行有效的，具有创伤小、恢复快及并发症少等优点，值得临床 推广。

Abstract:

To explore the feasibility, safety and clinical value of anterior approach laparoscopic cystogastrostomy in the treatment of pancreatic pseudocyst.?Method?12 patients with pancreatic pseudocyst received totally laparoscopic cystogastrostomy the data on operative time, intraoperative bleeding, postoperative time to get out of bed, time of first flatus/bowel motion, complication and duration of hospital stay were collected and analyzed retrospectively.?Result?All operations were carried out successfully with laparoscopic surgery. The mean operative time was (70.0?±?15.0)?min. The average intraoperative blood loss was (70.0?±?18.0)?ml. The mean postoperative time to get out of bed was (1.0?±?0.0)?d, and the mean time of first flatus was (2.5?±?0.5)?d. All patients recovered smoothly without any pancreatic fistula, blood loss. The average hospital stay was (8.0?±?1.5)?d. Fever, pancreatitis, adhesive intestinal obstruction, diabetes and other complications did not occur. The mean weight increased (6.0?±?1.0)?kg. ?Conclusions?Anterior approach totally laparoscopic cystogastrostomy was an efficacious, safe, and minimally invasive procedure.