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1、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摘要:口的探讨腹腔镜下朕腺假性囊肿外引流术治疗朕腺假性囊肿的价值。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>5cm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65.8min(55s8min),平均出血量50ml(2078ml),无中转开腹,平均住院时间8.5d(7*3d)o囊肿胃引流术2例,手术时间分别为72.75
2、min,术中出血量分别为70、82ml,住院时间分别为7、7.5d。囊肿空肠Roux-Y吻合术2例,手术时间分别为112、122min,术中出血量分别为120.105ml,住院时间分别为9、9.5do23例随访6纽个月,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:2017-04-04ClinicalAnalysisof25CasesofPancreaticPseudocystWangPinFu
3、JieLiuYongyongDepartmentofGeneralSurgery,LanzhouUniversitySecondHospital:Abstract:ObjectiveToevaluatethevalueoflaparoscopicextracorporealdrainageofpancreaticpseudocystinthetreatmentofpancreaticpseudocyst.MethodsClinicaldataof25patientswithpancreaticpseudocystsfromJuly2012toJuly2015wer
4、eretrospectivelyanalyzed.For21patientswithpancreaticpseudocystnotconncctingwiththemainpancrcaticduct,laparoscopicpancreaticpseudocystexternaldrainagewasperformed.For4patientswithcystsconnectingwiththemainpancreaticductformoreLhan5cm,cystgastricdrainageorcystjejunumRoux-Yanastomosiswas
5、performed.ResultsIn21patientsreceivinglaparoscopicpancreaticpseudocystexternaldrainage,theaverageoperativetimewas65.8min(range,55-88min),theaveragebleedingwas50ml(range,20-78ml),andtheaveragehospitalizationtimewas8・5days(7-13days).Noconversiontoopensurgerywasrequired.In2casesreceiving
6、cystgastricdrainage,theoperationtimewas72and75min,theintraoperativebloodlosswas70and82ml,andthehospitalizationtimewas7and7.5d.In2casesreceivingcystjejunumRoux-Yanastomosis,theoperationtimewas112and122min,intraoperativebloodlosswas120and105ml,andhospitalstaywas9and9.5d.The23patientswer
7、efollowedupfor6~24months(mean,15months),withoutcystsrecurrence.ConclusionForpatientswithpancreaticpscudocystsnotcommunicatingwiththemainpancreaticduct,laparoscopicpancreaticpseudocystexternaldrainagehasgoodresults.Keyword:Pancreaticpseudocyst;Drainage;Laparoscopy;Received:2017-04-04胰腺
8、假性囊肿是