外科理论与实践2017，Vol.22Issue(2)：123-128,6.DOI:10.16139/j.1007-9610.2017.02.009
腹腔镜与开腹胰十二指肠切除术近期疗效的对比研究
A comparative study of short-term efficacy of laparoscopic and open pancreaticoduodenectomy
吴万龙 1王明俊 1蔡云强 1李永彬 1王昕 1孟令威 1蔡合 1彭兵1
作者信息
- 1. 四川大学华西医院胰腺外科,四川 成都 610041
- 折叠
摘要
Abstract
objective To compare the short-term efficacy of laparoscopic pancreaticoduodenectomy (LPD) versus open pancreaticoduodenectomy (OPD). Methods A total of 30 consecutive patients between October 2010 and October 2014 underwent LPD. Thirty patients receiving OPD during the same period were recruited for comparison. Results The patients in LPD group had longer operative time [(519.0 ±86.0) min vs. (321.0 ±78.0) min, P<0.001], less intraoperative blood loss [225.0 mL (quartile: 187.0-400.0) vs. 490.0 mL (quartile: 345.0-555.0), P<0.001] and faster diet recover [(5.9 ± 1.8) d vs. (9.2±4.1) d, P<0.001] when compared to those in OPD group. There were fewer cases in LPD group to ICU for further care (13/43.3%vs. 22/73.3%, P<0.05) and fewer cases received postoperative analgesia (11/36.7% vs. 21/70.0%, P<0.05). The oncological outcome was similar between the two groups. Conclusions LPD is not only feasible technically and safe but also less blood loss, less need for ICU and analgesia as well as faster diet recovery. R0 resection rate and number of lymph node retrieved were same between the two groups.关键词
腹腔镜胰十二指肠切除术/开腹胰十二指肠切除术/近期疗效Key words
Laparoscopic pancreaticoduodenectomy/Open pancreaticoduodenectomy/Short-term efficacy分类
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吴万龙,王明俊,蔡云强,李永彬,王昕,孟令威,蔡合,彭兵..腹腔镜与开腹胰十二指肠切除术近期疗效的对比研究[J].外科理论与实践,2017,22(2):123-128,6.
