Pancreatic neuroendocrine neoplasm: experience of individual laparoscopic pancreatectomy
10.3760/cma.j.issn.1674-6090.2018.03.008
- VernacularTitle:胰腺神经内分泌肿瘤的个体化微创治疗
- Author:
Baochun LU
1
;
Zhiliang CHEN
;
Jianhua YU
;
Zhihong SHEN
;
Xiaoxiang ZHU
;
Hongli MA
Author Information
1. 312000 绍兴,浙江省绍兴市人民医院肝胆胰外科,浙江大学绍兴医院
- Keywords:
Pancreatic neuroendocrine neoplasm;
Individual;
Laparoscopic
- From:
Chinese Journal of Endocrine Surgery
2018;12(3):205-207
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the feasibility and safety of individual laparoscopic pancreatectomy for patients with pancreatic neuroendocrine neoplasm(pNEN).Methods 16 patients with pNEN admitted from Jan.2007 to Nov.2016 undergoing individual laparoscopic pancreatectomy were retrospectively analyzed.Results The operations were successfully accomplished in all the 16 patients,including 2 cases of local excision,2 cases of bundling method excision,2 cases of central pancreatectomy and pancreaticojejunostomy,4 cases of spleen-preserving distal pancreatectomy and 6 cases of distal pancreatectomy combined with splenectomy.The operation time was ranging from 60 to 260 mins,and the blood loss was from 50 to 300 ml.Three cases suffered from level A postoperative pancreatic leakage.The cases of grade G1,G2,G3 were 10,5,1,respectively.The follow-up period was from 3 to 121 months.One case of grade G2 died 46 months postoperatively and 1 case of grade G3 died 36 months postoperatively.Conclusion Individual laparoscopic pancreatectomy is safe and feasible for early pNEN.