LAPAROSCOPIC PYLORUS-PRESERVING PANCREATICODUODENECTOMY

被引：701

作者：

GAGNER, M

机构：

[1] Department of Surgery, University of Montréal, Montréal, H2W 1T8, Quebec, Hôtel-Dieu de Montréal

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 05期

关键词：

LAPAROSCOPY; PANCREATICODUODENECTOMY; WHIPPLE OPERATION; SURGICAL LAPAROSCOPY; CHRONIC PANCREATITIS;

D O I：

10.1007/BF00642443

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A case of chronic pancreatitis localized in the head of the pancreas with pancreas divisum was treated by laparoscopic pylorus-preserving pancreatoduodenectomy. The laparoscopic technique of resection and reconstruction with a gastrojejunostomy, hepaticojejunostomy, and pancreaticojejunostomy is described. The postoperative period was complicated by a jejunal ulcer and delayed gastric emptying necessitating a prolonged hospitalization and intravenous hyperalimentation. No fistulas occurred, a follow-up CT scan revealed no pancreatic abnormalities, and the patient was discharged in good condition on the 30th postoperative day. Although technically feasible, the laparoscopic Whipple procedure may not improve the postoperative outcome or shorten the postoperative recovery period.

引用

页码：408 / 410

页数：3

共 7 条

[1] Braasch J.W., Gagner M., Pylorus-preserving pancreatoduodenectomy technical aspects, Langenbeck Archiv fur chirurgie, 376, pp. 50-58, (1991)
[2] Clayman R.V., Kavoussi L.R., Soper N.J., Dierks S.M., Merety K.S., Darcy M., Long S.R., New England Journal of Medicine, pp. 1370-1371, (1991)
[3] Crist D.W., Sitzmann J.V., Cameron J.L., Improved hospital morbidity, mortality and survival after the whipple procedure, Ann Surg, 206, pp. 358-365, (1987)
[4] Gagner M., Rheault M., Dubuc J., Laparoscopic partial hepatectomy for liver tumours, Surg Endoscopy, 6, (1992)
[5] Mouiel J., Katkhouda N., White S., Dumas R., Endolaparoscopic palliation of pancreatic cancer, Surg Lap & Endos, 2, pp. 241-243, (1992)
[6] Reddick E.J., Olsen D.O., Laparoscopic laser cholecystectomy with mini-lap cholecystectomy, Surg Endosc, 3, pp. 131-133, (1989)
[7] Shimi S., Banting S., Cuschieri A., Laparoscopy in the management of pancreatic cancer: endoscopic cholectystojejunostomy for advanced disease, Br J Surg, 79, pp. 317-319, (1992)

← 1 →