外科理论与实践2024，Vol.29Issue(1)：27-33,7.DOI:10.16139/j.1007-9610.2024.01.05
单纯切除胰腺实性假乳头状瘤的临床价值分析
Clinical value analysis of simple resection of pancreatic solid pseudopapillary tumor
摘要
Abstract
Objective To explore the clinical application value of simple resection in the treatment of pancreatic solid pseudopapillary tumor(SPT).Methods Retrospective analysis of clinical and follow-up data of pancreatic SPT patients who underwent simple pancreatectomy and conventional pancreatectomy from January 2015 to December 2022 in the pancreatic cystic tumor database of Huashan Hospital,Fudan University.A total of 87 patients with pancreatic SPT,including 14 cases underwent simple resection and 73 cases underwent conventional resection,were included.The average age was(36.2±11.7)years old,and females accounting for 87.4％.Results The accuracy of preoperative imaging diagnosis reached 88.5％.Simple resection had a significant advantage over conventional resection in terms of surgical time[(138.3± 56.4)min vs.(241.2±89.2)min,P＜0.05].Simple resection was not inferior to conventional resection in terms of common postoperative complications.Out of 87 cases,only 3 patients in conventional resection group experienced postoperative recurrence and metastasis,and all recurrent patients were still alive.There was no statistically significant difference in postoperative pancreatic endocrine and exocrine dysfunction,and quality of life between simple resection group and conventional resection group.Conclusions Simple resection of pancreatic SPT is reasonable and feasible,but the risks in actual clinical work cannot be ignored.Therefore,selective simple resection of SPT has certain clinical application value.关键词
胰腺实性假乳头状瘤/胰腺肿瘤单纯切除术/术后并发症/临床价值分析Key words
Solid pseudopapillary tumor of the pancreas/Simple resection/Postoperative complication/Clinical value analysis分类
医药卫生引用本文复制引用
郭宇杰,唐颖,顾季春,杨峰,刘华晔,金忱,傅德良,李骥..单纯切除胰腺实性假乳头状瘤的临床价值分析[J].外科理论与实践,2024,29(1):27-33,7.基金项目
上海市"科技创新行动计划"人工智能科技支撑专项(22511106203) （22511106203）
