层面优先法在腹腔镜胰体尾切除术中的应用OACSTPCD

Objective:To investigate the feasibility and safety of the"plane first"approach in laparoscopic distal pancreatectomy.Methods:Clinical data of 81 patients with local lesions in the body and tail of the pancreas who underwent laparoscopic spleen-preser-ving distal pancreatectomy and distal pancreatectomy combined with splenectomy from Mar.2021 to Mar.2022 were retrospectively ana-lyzed.The operation time,intraoperative blood loss and postoperative complications of the"plane first"method were observed and com-pared with traditional surgical approach.Results:All 81 patients successfully underwent distal pancreatectomy without conversion to open surgery.The operative time and intraoperative blood loss of the laparoscopic spleen-preserving distal pancreatectomy and distal pancreatectomy combined with splenectomy in the"plane first"approach were shorter/fewer than the conventional approach,the diffe-rences were significant.Conclusions:The"Plane first"approach has better operability in laparoscopic distal pancreatectomy,which can effectively decrease the operative time and intraoperative blood loss,and is safe and feasible.