查詢結果分析
來源資料
頁籤選單縮合
題名 | Spleen-preserving Distal Pancreatectomy without Division of Splenic Artery and Vein as a Procedure for Benign Distal Pancreatic Lesion=以保留脾動靜脈及脾臟的遠端胰臟切除作為切除良性遠端胰臟病灶之手術法 |
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作者姓名(中文) | 謝奇勳; 葉俊男; 陳敏夫; | 書刊名 | 長庚醫學 |
卷期 | 25:1 2002.01[民91.01] |
頁次 | 頁23-28 |
分類號 | 416.248 |
關鍵詞 | 遠端胰臟切除; Distal pancreatectomy; |
語文 | 英文(English) |
中文摘要 | 背景:評估針對遠端良性胰臟病灶,僅切除胰尾而保留脾動靜脈及脾臟的安全性及臨床成效。 方法:共有5位病人接受前述之手術方法。其中4位病人採行順向之胰尾切除(自胰尾往胰體),1位採取逆行之胰尾切除(自胰體往胰尾)。 每位病人之手術時間,出血量,術後住院日數及併發症均予以記錄分析。 結果:5位病人均手術成功且無任何併發症。手術時間介於175至270分鐘之間(平均238分鐘),失血量介於50至300毫升之間(平均170毫升),術後住院日數介於6至15日之間(平均8.4日)。 結論:保留脾動靜脈及脾臟的遠端胰臟切除為一安全的術式,同時本院之結果較既有文獻上之報告為優,顯示此種術式仍有進步的空間。因此應在儘可能的狀況下,針對胰臟遠端良性病灶之切除採行此種術式。 |
英文摘要 | Background: To assess the safety and the clinical outcome of distal pancreatectomy, with preservation of the spleen as well as splenic artery and vein, for benign distal pancreatic lesions. Methods: Five consecutive patients with benign distal pancreatic lesions (3 with insulinoma, 1 with non-functioning islet cell tumor and 1 with serous cystadenoma) underwent spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein. Prograde distal pancreatectomy was performed for 4 patients and retrograde pancreatectomy for the other. The operative time, blood loss due to surgery, length of post-operative hospitalization and post-operative complications were analyzed and evaluated. Results: Surgery was successful for all 5 patient. Whilst 2 of the patients revealed major medical disease, no post-surgical complications were experienced by any of the 5 patients. The mean operative time, extent of blood loss, and postoperative hospital stay were, respectively, 238 minutes (range 175-270), 170 ml (range 50-300), and 8.4 days (range 6-15). Conclusions: From our experience, spleen-preserving distal pancreatectomy can be safely performed with the conservation of the splenic artery and vein. Our result revealed that this well-known procedure can be improved in terms of blood loss, surgical duration and length of hospital stay. We believe that this procedure should be performed for benign lesions of the distal pancreas whenever indicated and possible. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。