Yin Qiang,Peng Yuming,Xie Weixin,et al.Experience of laparoscopic resection of spleen-preserving pancreatic body and tail in children[J].Journal of Clinical Pediatric Surgery,,20():627-630.[doi:10.12260/lcxewkzz.2021.07.006]
Experience of laparoscopic resection of spleen-preserving pancreatic body and tail in children
- Keywords:
- Pancreatic Neoplasms/SU; Laparoscopy/MT; Treatment Outcome; Child
- CLC:
- R735.9;R730.56
- Abstract:
- Objective To investigate the feasibility and safety of laparoscopic resection of the body and tail of the pancreas in children with preservation of the spleen and splenic blood vessels.Methods Seven patients with solid pseudopapillary tumors of the pancreatic body and tail who were admitted to Hunan Children’s Hospital from January 2015 to December 2020 were selected as the research objects. Seven patients were treated with the method of preserving the spleen and splenic artery or splenic artery and vein. Resection of the tail of the pancreas. The head and neck of the pancreas were preserved,and the body and tail occupied by the tumor were removed. The spleen and splenic arteries and veins were preserved in some cases,and the spleen and splenic arteries were preserved in some cases.Results All 7 cases successfully completed the resection of the body and tail of the pancreas with the preservation of the spleen and splenic vessels. The average operation time was (150±56) minutes; the average blood loss during the operation was (85±24) ml; none of the operations required blood transfusion; Hospitalization time is (12±3) days. Pancreatic fistula occurred in 1 case after the operation,which was cured by conservative treatment without other comorbidities. No recurrence or metastasis occurred in the follow-up.Conclusion The resection of the body and tail of the pancreas in children with the preservation of the spleen and splenic artery is safe and feasible. Whether the splenic vein is preserved depends on the relationship between the tumor and the splenic vein. Partial resection of non-malignant pancreatic tumors in children is the best choice.
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Memo
收稿日期:2021-03-07。
基金项目:湖南省卫健委课题项目（编号：C2019011）
通讯作者:尹强,Email:qiangyin@hotmail.com