【摘要】：目的探討腹腔鏡下胰腺假性囊腫空腸內(nèi)引流術(shù)治療胰腺體尾部假性囊腫的可行性和安全性。方法我科2013年6月~2016年1月對11例胰腺假性囊腫施行完全腹腔鏡下胰腺假性囊腫空腸內(nèi)引流,完全腹腔鏡下從橫結(jié)腸系膜后方切開囊壁,用帶倒刺縫線行胰空腸吻合術(shù)。結(jié)果均在腹腔鏡下完成手術(shù),無中轉(zhuǎn)開腹,術(shù)中平均出血量60 ml(40~150ml),平均手術(shù)時(shí)間120 min(90~180 min),術(shù)后平均住院時(shí)間7.5 d(5~12 d)。術(shù)后均無嚴(yán)重并發(fā)癥發(fā)生。11例術(shù)后隨訪10~24個(gè)月,平均19.3月,無胰腺假性囊腫復(fù)發(fā),無腹痛、畏寒、發(fā)熱等不適。結(jié)論對胰腺體尾部假性囊腫采用完全腹腔鏡胰腺假性囊腫空腸內(nèi)引流安全、可行。
[Abstract]:Objective to investigate the feasibility and safety of laparoscopic drainage of pancreatic pseudocyst in the treatment of pseudocyst of pancreas body and tail. Methods from June 2013 to January 2016, 11 cases of pancreatic pseudocyst were treated with complete laparoscopic internal drainage of pancreatic pseudocyst, complete laparoscopic incision of capsule wall from posterior transverse mesentery, and pancreatitis-Jejunostomy with inverted suture. Results all the operations were performed under laparoscopy without conversion to laparotomy. The average intraoperative blood loss was 60 ml (40~150ml). The average operation time was 120 min (90 鈮，

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