The lesser omentum approach for laparoscopic pancreatic enucleation
10.3760/cma.j.issn.0529-5815.2017.05.011
- VernacularTitle: 经小网膜入路的腹腔镜胰腺肿瘤剜除术的初步临床效果
- Author:
Rong LIU
1
;
Qu LIU
;
Zhiming ZHAO
;
Guodong ZHAO
;
Xionglong TAN
;
Yuanxing GAO
;
Zhuzeng YIN
Author Information
1. Second Department of Hepatobiliary, People′s Liberation Army Genral Hospital, Beijing 100853, China
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Laparoscopy;
Lesser omentum;
Operative approach
- From:
Chinese Journal of Surgery
2017;55(5):364-367
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the feasibility and strategy of the lesser omentum approach for laparoscopic pancreatic enucleation.
Methods:Between June 2011 and October 2013, 6 laparoscopic pancreatic enucleations were performed by lesser omentum approach.The average age was 42 years, including 1 male and 5 female.The preoperation diagnosis of 6 cases were pancreatic islet cell tumors determined by abdominal CT/MRI, ultrasound and digital subtraction angiography.The tumors of 3 cases located in pancreatic neck, 2 tumors located in neck and body of pancreas, and 1 tumor located in pancreatic body.Their biggest tumor diameter were 0.8-2.5 cm.
Results:Among the 6 cases, all laparoscopic pancreatic enucleations were successfully performed.None of the patients were converted to open operation.Eestimated blood loss was (26.7±18.6)ml, operating time was (82.5±19.4)minutes, and postoperative length of stay was (5.17±1.17)days.Additionally, postoperative complication included grade A pancreatic fistula in 1 case.After 36-64 months followed-up, there was no tumor recurrence and clinical symptom disappeared.
Conclusion:For the islet cell tumors located in pancreatic neck and body, the lesser omentumapproach may contribute to good surgical view and operative space, which can make pancreatectomy safer and easier for clinical application.
