中国医学前沿杂志（电子版）2017，Vol.9Issue(2)：84-87,4.DOI:10.12037/YXQY.2017.02-17
腹腔镜胰十二指肠切除术对胰头癌术后并发症及预后的影响分析
Analysis of postoperative complications and prognosis of patients with pancreatic head cancer treated by laparoscopic pancreaticoduodenectomy
摘要
Abstract
Objective To compare the efficacy, prognosis and complications of laparoscopic pancreati-coduodenectomy (LPD) and traditional open pancreaticoduodenectomy (OPD) for the treatment of pancreatic head cancer. Method Clinical data of 66 patients with locally advanced carcinoma of head of pancreas who underwent pancreaticoduodenectomy in our hospital from January 2010 to June 2013 were collected, of which 29 patients were enrolled in LPD group and 37 patients were enrolled in OPD group. Observed the two groups of patients with intraoperative and postoperative related indicators, postoperative complications and long-term survival differences. Result The operation time of observation group was longer than that of control group (P < 0.05), hospitalization expense was higher than that of control group (P < 0.05), the amount of bleeding and postoperative analgesic drug taken in times less than that of control group (P < 0.05), anal exhaust time, postoperative extubation time, eating time and hospitalization time of liquid food were shorter than control group (P < 0.05). There was no significant difference in the incidence of total complication between the two groups (P > 0.05). There was significant difference in the incidence of single complication between the two groups (P < 0.05). There was no significant difference in the prognosis between the two groups (P > 0.05). The survival rate of the observation group was significantly lower than that of control group (P < 0.05). Conclusion In the case of pancreatic head cancer, laparoscopic pancreaticoduodenectomy can shorten the recovery time of patients, reduce the incidence of postoperative complications such as delayed gastric emptying, incision infection, intra-abdominal infection and intestinal obstruction.关键词
胰头癌/腹腔镜胰十二指肠切除术/开腹胰十二指肠切除术/预后/并发症Key words
Pancreatic head carcinoma: Laparoscopic pancreaticoduodenectomy/Open pancreaticoduod-enectomy/Prognosis/Complication引用本文复制引用
唐荣,郑辉,陈杰,丁岩江..腹腔镜胰十二指肠切除术对胰头癌术后并发症及预后的影响分析[J].中国医学前沿杂志（电子版）,2017,9(2):84-87,4.基金项目
四川省科技厅科研课题项目(0401060035) （0401060035）
