经内镜胰管支架置入联合肿瘤剜除术治疗胰腺颈部良性肿瘤1例报告

王琨; 阿不都热依木·吐尔洪; 杨帆; 刘亚辉; 付裕; 张威

doi:10.3969/j.issn.1001-5256.2019.01.040

经内镜胰管支架置入联合肿瘤剜除术治疗胰腺颈部良性肿瘤1例报告

DOI: 10.3969/j.issn.1001-5256.2019.01.040

吉林大学第一医院肝胆胰外二科

详细信息

中图分类号: R735.9
计量
- 文章访问数: 1443
- HTML全文浏览量: 12
- PDF下载量: 269
- 被引次数: 0
出版历程
- 出版日期: 2019-01-20

Endoscopic pancreatic stent placement combined with tumor enucleation for benign pancreatic neck tumor: A case report

Second Department of Hepatopancreatobiliary Surgery, The First Hospital of Jilin University, Changchun 130021, China

摘要

摘要:
<正>随着影像诊断技术的不断发展,胰腺良性肿瘤不断被鉴别诊断,其中绝大多数需要及时的外科手术干预。因肿瘤部位不同,其手术术式选择各异。包括胰腺肿瘤剜除、胰腺中段切除、远端胰腺切除、胰十二指肠切除等[1]。其中,肿瘤剜除术主要适用于凸出于胰腺实质表面,且与主胰管间有一定安全距离的良性肿瘤,如胰岛素瘤[2]。当肿瘤位置较深或紧贴主胰管时,若单纯行肿瘤剜除术,极易损伤主胰管,造成术后胰漏。本团队针对1例胰腺颈部良性肿瘤患者,采用经内镜胰管支架置入联合胰腺肿瘤剜除术的治疗方式,在预防术后胰漏方面获得了
- 胰腺肿瘤 /
- 支架 /
- 剜除术 /
- 病例报告
- pancreatic neoplasms /
- stents /
- enucleation /
- case reports

HTML全文

参考文献(13)

[1]LU M, YUAN CH, XIU DR.Laparoscopic local resection of pancreatic tumors:Selection of indications and perioperative management[J].J Laparo Surg, 2016, 21 (12) :884-886. (in Chinese) 鲁蒙, 原春辉, 修典荣.腹腔镜胰腺肿瘤局部切除术:适应证选择及围手术期管理[J].腹腔镜外科杂志, 2016, 21 (12) :884-886.

[2]WU JL, GUO F, WEI JS, et al.Surgical treatment for pancreatic neuroendocrine neoplasmas[J].J Zhejiang Univ:Medical Sciences, 2016, 45 (1) :31-35. (in Chinese) 吴峻立, 郭峰, 卫积书, 等.胰腺神经内分泌肿瘤的外科治疗[J].浙江大学学报:医学版, 2016, 45 (1) :31-35.

[3]ZHAO DF, ZHANG T.Middle segment pancreatectomy in treatment for benign pancreatic tumors and its effect on pancreatic exocrine function[J].Chin J Endocr Surg, 2016, 10 (3) :189-191, 211. (in Chinese) 赵德芳, 张彤.中段胰腺切除术治疗胰颈体良性肿瘤对胰腺外分泌功能的影响[J].中华内分泌外科杂志, 2016, 10 (3) :189-191, 211.

[4]FAITOT F, GAUJOUX S, BARBIER L, et al.Reappraisal of pancreatic enucleations:A single-center experience of 126procedures[J].Surgery, 2015, 158 (1) :201-210.

[5]XU JW, ZHAN HX, HU SY, et al.Minimally invasive organpreserving pancreatic surgery:Current status and advances[J].J Laparo Surg, 2017, 22 (8) :623-626. (in Chinese) 徐建威, 展翰翔, 胡三元, 等.保留器官的微创胰腺手术:现状及进展[J].腹腔镜外科杂志, 2017, 22 (8) :623-626.

[6]LU WJ, CAI HL, YE MD, et al.Enucleation of non-invasive tumors in the proximal pancreas:Indications and outcomes compared with standard resections[J].J Zhejiang Univ Sci B, 2017, 18 (10) :906-916.

[7]ZHANG T, XU J, WANG T, et al.Enucleation of pancreatic lesions:indications, outcomes, and risk factors for clinical pancreatic fistula[J].J Gastrointest Surg, 2013, 17 (12) :2099-2104.

[8]JILESEN AP, van EIJCK CH, BUSCH OR, et al.Postoperative outcomes of enucleation and standard resections in patients with a pancreatic neuroendocrine tumor[J].World J Surg, 2016, 40 (3) :715-728.

[9]XU TZ, WU JC.Effect of preoperative pancreatic stent in preventing pancreatic leakage after distal pancreatectomy[J].JHepatobiliary Surg, 2007, 15 (1) :57-58. (in Chinese) 徐铁峥, 武金才.术前胰管内支架预防胰腺远端切除术后胰漏[J].肝胆外科杂志, 2007, 15 (1) :57-58.

[10]BASSI C, MARCHEGIANI G, DERVENIS C, et al.The 2016update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula:11 years after[J].Surgery, 2017, 161 (3) :584-591.

[11]HUANG Q, ZHU CL.The clinical application of function-preserving pancreatic surgery in treating pancreatic neuroendocrine tumors[J].Chin J Pancreatol, 2017, 17 (2) :119-121. (in Chinese) 黄强, 朱成林.功能保留性胰腺手术在胰腺神经内分泌肿瘤外科治疗中的应用[J].中华胰腺病杂志, 2017, 17 (2) :119-121.

[12]REN CY, BAI T, CUI W, et al.Safety and feasibility of enhanced recovery after surgery in perioperative management of pancreatectomy:A Meta analysis[J].Chin J Dig Surg, 2018, 17 (7) :729-739. (in Chinese) 任超逸, 白同, 崔巍, 等.加速康复外科应用于胰腺切除围术期安全性和可行性的Meta分析[J].中华消化外科杂志, 2018, 17 (7) :729-739.

[13]WANG XP, PAN YL, GUO XG.Advances in endoscopic retrograde cholangiopancreatography[J].J Clin Hepatol, 2018, 34 (3) :473-481. (in Chinese) 王向平, 潘阳林, 郭学刚.经内镜逆行胰胆管造影术的若干进展[J].临床肝胆病杂志, 2018, 34 (3) :473-481.

施引文献

资源附件(0)

访问统计