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层面优先法在腹腔镜胰体尾切除术中的应用

彭伟 魏丹 屈士斌 刘正才 周景师 杨诏旭

腹腔镜外科杂志2024,Vol.29Issue(7):487-491,501,6.
腹腔镜外科杂志2024,Vol.29Issue(7):487-491,501,6.DOI:10.13499/j.cnki.fqjwkzz.2024.07.0487

层面优先法在腹腔镜胰体尾切除术中的应用

Application of"plane first"approach in laparoscopic distal pancreatectomy

彭伟 1魏丹 1屈士斌 1刘正才 1周景师 1杨诏旭1

作者信息

  • 1. 空军军医大学第一附属医院肝胆胰脾外科,陕西 西安,710032
  • 折叠

摘要

Abstract

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.

关键词

胰体尾切除术/腹腔镜检查/层面优先法

Key words

Distal pancreatectomy/Laparoscopy/Plane first approach

分类

医药卫生

引用本文复制引用

彭伟,魏丹,屈士斌,刘正才,周景师,杨诏旭..层面优先法在腹腔镜胰体尾切除术中的应用[J].腹腔镜外科杂志,2024,29(7):487-491,501,6.

基金项目

国家自然科学基金青年项目(82203443) (82203443)

中国博士后科学基金特别资助(2023TQ0142) (2023TQ0142)

腹腔镜外科杂志

OACSTPCD

1009-6612

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