Three-dimensional visualization technology in the use of laparoscopic spleen-preserving distal pancreatectomy
10.3760/cma.j.cn113855-20211025-00813
- VernacularTitle:三维可视化技术在腹腔镜保脾胰体尾切除手术中的应用
- Author:
Yannan LIU
1
;
Xiuwen HE
;
Jian CHEN
;
Jinghai SONG
Author Information
1. 北京医院普通外科 国家老年医学中心 中国医学科学院老年医学研究院，北京 100730
- Keywords:
Imaging, three-dimensional;
Pancreatic neoplasms;
Spleen-preserving distal pancreatectomy;
Laparoscopy
- From:
Chinese Journal of General Surgery
2022;37(7):492-495
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate three-dimensional visualization technology (3D technic) used in laparoscopic spleen-preserving distal pancreatectomy for pancreatic benign or low-grade malignant tumors.Methods:Data of 28 patients with laparoscopic distal pancreatectomy at Beijing Hospital from Aug 2016 to Dec 2021 were retrospectively analyzed.Results:There were 12 patients assigned in 3D attempt compared to 16 patients undergoing ordinary laparoscopy. In 3D group, all 12 patients underwent successful spleen preserving distal pancreatectomy. While in control group only 5 cases were successful in spleen preserving procedure, the remaining 11 cases failed in spleen preserving ending up in distal pancreatectomy combined with splenectomy. The spleen preserving pancreatectomy rate in 3D group was higher than control group ( P<0.05). There was no significant difference in the operation time (202±53.8) min vs. (186.8±48.3) min, intraoperative blood loss (107.5±141.2) mL vs. (160.6±184.4) ml and the incidence of pancreatic leakage between the two groups ( P>0.05). Nor there was difference in the average postoperative hospital stay between the two groups [(9.6±2.5) d vs. (19.1±40.6) d] ( P>0.05). Conclusion:Three dimensional visualization technology can improve the success rate and safety of laparoscopic spleen preserving distal pancreatectomy in cases of benign and low-grade malignant distal pancreatic tumors.
