切换至 "中华医学电子期刊资源库"

中华肝脏外科手术学电子杂志 ›› 2022, Vol. 11 ›› Issue (05) : 443 -448. doi: 10.3877/cma.j.issn.2095-3232.2022.05.004

所属专题: 综述

专家论坛

腹腔镜保留脾脏的胰体尾切除术
周子建1, 游嘉颖1, 蔡云强1, 彭兵2,()   
  1. 1. 610041 成都,四川大学华西医院胰腺外科
    2. 610041 成都,四川大学华西医院胰腺外科;610041 成都,四川大学华西医院上锦分院肝胆胰微创中心
  • 收稿日期:2022-05-23 出版日期:2022-10-10
  • 通信作者: 彭兵

Laparoscopic spleen preserving distal pancreatectomy

Zijian Zhou1, Jiaying You1, Yunqiang Cai1   

  • Received:2022-05-23 Published:2022-10-10
引用本文:

周子建, 游嘉颖, 蔡云强, 彭兵. 腹腔镜保留脾脏的胰体尾切除术[J/OL]. 中华肝脏外科手术学电子杂志, 2022, 11(05): 443-448.

Zijian Zhou, Jiaying You, Yunqiang Cai. Laparoscopic spleen preserving distal pancreatectomy[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2022, 11(05): 443-448.

自1996年Gagner等首次完成腹腔镜胰体尾切除术(laparoscopic distal pancreatectomy,LDP)以来,该术式得以不断推广[1]。由于胰腺的解剖位置紧邻脾动静脉及脾脏,传统观念将胰腺与脾认为同一解剖单位,从而将胰体尾联合脾脏切除术作为治疗胰体尾肿瘤的经典术式。近年来对脾脏功能的认识越来越深刻,精准外科中保留器官的理念不断深化,胰体尾切除术中是否联合脾脏切除这一问题得到重视。本文围绕腹腔镜保留脾脏的胰体尾切除术(laparoscopic spleen preserving distal pancreatectomy,LSPDP),将其理论基础及临床应用作一阐述和探讨。

[1]
Kimura W, Moriya T, Ma J, et al. Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein[J]. World J Gastroenterology, 2007, 13(10):1493-1499.
[2]
Shi N, Liu SL, Li YT, et al. Splenic preservation versus splenectomy during distal pancreatectomy: a systematic review and meta-analysis[J]. Ann Surg Oncol, 2015, 23(2):365-374.
[3]
姜洪池, 林汉. 保留脾脏的胰体尾切除关键技术[J/CD]. 中华普外科手术学杂志(电子版), 2013, 7(3):9-13.
[4]
Zhang RC, Ma J, Mou YP, et al. Comparison of clinical outcomes and quality of life between laparoscopic distal pancreatectomy with or without spleen preservation[J]. Surg Endosc, 2021, 35(7):3412-3420.
[5]
徐建明, 梁后杰, 秦叔逵, 等. 中国胃肠胰神经内分泌肿瘤专家共识(2016年版)[J].临床肿瘤学杂志, 2016, 21(10):927-946.
[6]
勾善淼, 吴河水. 保留脾脏的胰体尾切除术临床价值与适应证探讨[J]. 腹部外科, 2020, 33(5): 342-345.
[7]
彭承宏, 郝纯毅, 戴梦华, 等. 胰腺囊性疾病诊治指南(2015)[J]. 中国实用外科杂志, 201535(9):955-959.
[8]
Paiella S, De Pastena M, Korrel M, et al. Long term outcome after minimally invasive and open Warshaw and Kimura techniques for spleen-preserving distal pancreatectomy: international multicenter retrospective study[J]. Eur J Surg Oncol, 2019, 45(9):1668-1673.
[9]
Yongfei H, Javed AA, Burkhart R, et al. Geographical variation and trends in outcomes of laparoscopic spleen-preserving distal pancreatectomy with or without splenic vessel preservation: a meta-analysis[J]. Int J Surg2017(45):47-55.
[10]
Nishino H, Zimmitti G, Ohtsuka T, et al. Precision vascular anatomy for minimally invasive distal pancreatectomy: a systematic review[J]. J Hepatobilpan Sci, 2022, 29(1):136-150.
[11]
Ishikawa Y, Ban D, Watanabe S, et al. Splenic artery as a simple landmark indicating difficulty during laparoscopic distal pancreatectomy[J]. Asian J Endosc Surg, 2019, 12(1):81-87.
[12]
Inoko K, Ebihara Y, Sakamoto K, et al. Strategic approach to the splenic artery in laparoscopic spleen-preserving distal pancreatectomy[J]. Surg Laparosc Endosc Percutan Tech, 2015, 25(4):e122-125.
[13]
Pandey SK, Bhattacharya S, Mishra RN, et al. Anatomical variations of the splenic artery and its clinical implications[J]. Clin Anat, 2004, 17(6):497-502.
[14]
Daisy Sahni A, Indar Jit B, Gupta CN, et al. Branches of the splenic artery and splenic arterial segments[J]. Clin Anat, 2003, 16(5):371-377.
[15]
洪德飞, 林志川, 张宇华, 等. 腹腔镜胰体尾切除术选择策略临床研究(附56例报告) [J]. 中国实用外科杂志, 2015, 35(12):1325-1328.
[16]
Dai MH, Shi N, Xing C, et al. Splenic preservation in laparoscopic distal pancreatectomy[J]. Br J Surg, 2017104(4):452-462.
[17]
李冠群, 陈华, 孙备. 腹腔镜保留脾脏的胰体尾切除术的意义与评价[J/CD]. 中华普外科手术学杂志(电子版), 2018, 12(4):283-286.
[18]
王新团, 张引涛. Kimura法与Warshaw法在腹腔镜保留脾脏的胰体尾切除术中的临床对照研究[J]. 肝胆胰外科杂志, 2018, 30(5):353-356.
[19]
计嘉军, 梁超杰, 付建柱, 等. 腹腔镜保脾胰体尾切除术Kimura法和Warshaw法临床疗效对比Meta分析[J/CD]. 中华肝脏外科手术学电子杂志, 2019, 8(3):35-39.
[20]
Daouadi M, Zureikat AH, Zenati MS, et al. Robot-assisted minimally invasive distal pancreatectomy is superior to the laparoscopic technique[J]. Ann Surg, 2013, 257(1):128-132.
[21]
Huang B, Feng L, Zhao J. Systematic review and meta-analysis of robotic versus laparoscopic distal pancreatectomy for benign and malignant pancreatic lesions[J]. Surg Endosc, 2016, 30(9):4078-4085.
[22]
胡浩, 金昌国, 欧阳才国, 等. 腹腔镜下保留脾脏的胰体尾切除术23例[J]. 肝胆外科杂志, 2015, 23(3):173-175.
[23]
Goumard C, Ogiso S, Okuno M, et al. Tips and tricks of splenic vessel preservation during laparoscopic distal pancreatectomy[J]. Surg Endosc, 2018, 32(4):2149-2150.
[24]
Panda N, Bansal NK, Narsimhan M, et al. Spleen-preserving versus spleen-sacrificing distal pancreatectomy in laparoscopy and open method-perioperative outcome analysis-14 years experience[J]. Indian J Surg, 2016, 78(2):90-95.
[25]
Adam J, Jacquin A, Laurent C, et al. Laparoscopic spleen-preserving distal pancreatectomy: splenic vessel preservation compared with the Warshaw technique[J]. JAMA Surg, 2013148(3):246-252.
[26]
杨明, 王春友. 胰体尾切除术后胰瘘预防及处理[J]. 中国实用外科杂志, 2015, 35(8):834-838.
[27]
张浩, 谭春路, 李可洲. 胰体尾切除术后胰瘘的危险因素分析[J]. 中国普外基础与临床杂志, 2016, 23(2):192-197.
[28]
吴志明, 牟一平. 腹腔镜胰体尾切除术后胰漏的防治进展[J]. 中国微创外科杂志, 2016, 16(6):566-569.
[29]
Nakamura M, Ueda J, Kohno H, et al. Prolonged peri-firing compression with a linear stapler prevents pancreatic fistula in laparoscopic distal pancreatectomy[J]. Surg Endosc, 2011, 25(3):867-871.
[30]
Yu X, Li H, Jin C, et al. Splenic vessel preservation versus Warshaw's technique during spleen-preserving distal pancreatectomy: a meta-analysis and systematic review[J]. Langenbecks Arch Surg, 2015, 400(2):183-191.
[31]
周陈杰,王杰钦,高毅.浅谈腹腔镜保留器官功能的胰腺切除术[J/CD].中华普通外科学文献(电子版), 2020, 14(2):81-83.
[1] 燕速, 霍博文. 腹腔镜食管胃结合部腺癌根治性切除术[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 13-13.
[2] 母德安, 李凯, 张志远, 张伟. 超微创器械辅助单孔腹腔镜下脾部分切除术[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 14-14.
[3] 李国新, 陈新华. 全腹腔镜下全胃切除术食管空肠吻合的临床研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 1-4.
[4] 李子禹, 卢信星, 李双喜, 陕飞. 食管胃结合部腺癌腹腔镜手术重建方式的选择[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 5-8.
[5] 李乐平, 张荣华, 商亮. 腹腔镜食管胃结合部腺癌根治淋巴结清扫策略[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 9-12.
[6] 陈方鹏, 杨大伟, 金从稳. 腹腔镜近端胃癌切除术联合改良食管胃吻合术重建His角对术后反流性食管炎的效果研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 15-18.
[7] 许杰, 李亚俊, 韩军伟. 两种入路下腹腔镜根治性全胃切除术治疗超重胃癌的效果比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 19-22.
[8] 李刘庆, 陈小翔, 吕成余. 全腹腔镜与腹腔镜辅助远端胃癌根治术治疗进展期胃癌的近中期随访比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 23-26.
[9] 任佳, 马胜辉, 王馨, 石秀霞, 蔡淑云. 腹腔镜全胃切除、间置空肠代胃术的临床观察[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 31-34.
[10] 王庆亮, 党兮, 师凯, 刘波. 腹腔镜联合胆道子镜经胆囊管胆总管探查取石术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 313-313.
[11] 杨建辉, 段文斌, 马忠志, 卿宇豪. 腹腔镜下脾部分切除术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 314-314.
[12] 叶劲松, 刘驳强, 柳胜君, 吴浩然. 腹腔镜肝Ⅶ+Ⅷ段背侧段切除[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 315-315.
[13] 郭兵, 王万里, 何凯, 黄汉生. 腹腔镜下肝门部胆管癌根治术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(01): 143-143.
[14] 李凯, 陈淋, 苏怀东, 向涵, 张伟. 超微创器械在改良单孔腹腔镜巨大肝囊肿开窗引流及胆囊切除中的应用[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(01): 144-144.
[15] 魏丽霞, 张安澜, 周宝勇, 李明. 腹腔镜下Ⅲb型肝门部胆管癌根治术[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(01): 145-145.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?