Abstract：
BACKGROUND: The purpose of this study is to examine and analyse the outcomes and patient experiences associated with laparoscopic central pancreatectomy.
METHODS: The perioperative data of 16 patients who underwent laparoscopic central pancreatectomy were retrospectively analysed at Ningbo Medical Center Lihuili Hospital (Xingning Branch and Eastern Branch) from September 2017 to July 2023.
RESULTS: All surgical procedures were completed without the need for intraoperative conversion to open surgery. In two cases, intraoperative cholangiography was performed, while in four cases, intraoperative fluoroscopic laparoscopic assistance was utilized. The duration of the operations varied from 160 to 360 min, with an average of 281.75 min. The estimated volume of intraoperative bleeding ranged from 50 to 300 mL, with an average of 113.75 mL. The postoperative pathology results revealed that there were two cases of intraductal papillary mucinous neoplasm, six cases of serous cystic neoplasms, one case of mucinous cystic neoplasm, five cases of solid pseudopapillary neoplasms, and two cases of neuroendocrine tumours. The maximum diameter of the tumours ranged from 3.0 to 5.0 cm, with an average of 3.67 cm. There were no instances of postoperative common bile duct stenosis or biliary leakage. Among the cases, five did not exhibit pancreatic fistula, six experienced biochemical leakage, three had grade B pancreatic fistula, and two had grade C pancreatic fistula.
CONCLUSIONS: Laparoscopic central pancreatectomy, as a method to preserve pancreatic function, entails specific surgical risks and a notable likelihood of postoperative pancreatic fistula, necessitating the expertise of seasoned surgeons for its execution.
METHODS: The perioperative data of 16 patients who underwent laparoscopic central pancreatectomy were retrospectively analysed at Ningbo Medical Center Lihuili Hospital (Xingning Branch and Eastern Branch) from September 2017 to July 2023.
RESULTS: All surgical procedures were completed without the need for intraoperative conversion to open surgery. In two cases, intraoperative cholangiography was performed, while in four cases, intraoperative fluoroscopic laparoscopic assistance was utilized. The duration of the operations varied from 160 to 360 min, with an average of 281.75 min. The estimated volume of intraoperative bleeding ranged from 50 to 300 mL, with an average of 113.75 mL. The postoperative pathology results revealed that there were two cases of intraductal papillary mucinous neoplasm, six cases of serous cystic neoplasms, one case of mucinous cystic neoplasm, five cases of solid pseudopapillary neoplasms, and two cases of neuroendocrine tumours. The maximum diameter of the tumours ranged from 3.0 to 5.0 cm, with an average of 3.67 cm. There were no instances of postoperative common bile duct stenosis or biliary leakage. Among the cases, five did not exhibit pancreatic fistula, six experienced biochemical leakage, three had grade B pancreatic fistula, and two had grade C pancreatic fistula.
CONCLUSIONS: Laparoscopic central pancreatectomy, as a method to preserve pancreatic function, entails specific surgical risks and a notable likelihood of postoperative pancreatic fistula, necessitating the expertise of seasoned surgeons for its execution.
摘要：
背景：本研究的目的是检查和分析与腹腔镜中央胰腺切除术相关的结果和患者经验。
方法：回顾性分析2017年9月至2023年7月在宁波医学中心李惠利医院（兴宁分院、东部分院）行腹腔镜下中央胰腺切除术的16例患者的围手术期资料。
结果：所有外科手术均完成，无需术中转换为开放手术。在两种情况下，术中进行了胆道造影,而在四种情况下，术中使用透视腹腔镜辅助。操作的持续时间从160到360分钟不等，平均281.75分钟。术中出血量估计为50～300mL,平均113.75mL。术后病理提示2例导管内乳头状黏液性肿瘤,6例浆液性囊性肿瘤，一例黏液性囊性肿瘤,5例实性假乳头状瘤，和2例神经内分泌肿瘤。肿瘤的最大直径范围为3.0至5.0厘米，平均3.67厘米。术后无胆总管狭窄或胆漏。在案件中，五个没有出现胰瘘，六个经历过生化泄漏，三个有B级胰瘘,两个有C级胰瘘。
结论：腹腔镜胰中切除术，作为一种保护胰腺功能的方法，具有特定的手术风险和术后胰瘘的显着可能性，需要经验丰富的外科医生的专业知识来执行。
方法：回顾性分析2017年9月至2023年7月在宁波医学中心李惠利医院（兴宁分院、东部分院）行腹腔镜下中央胰腺切除术的16例患者的围手术期资料。
结果：所有外科手术均完成，无需术中转换为开放手术。在两种情况下，术中进行了胆道造影,而在四种情况下，术中使用透视腹腔镜辅助。操作的持续时间从160到360分钟不等，平均281.75分钟。术中出血量估计为50～300mL,平均113.75mL。术后病理提示2例导管内乳头状黏液性肿瘤,6例浆液性囊性肿瘤，一例黏液性囊性肿瘤,5例实性假乳头状瘤，和2例神经内分泌肿瘤。肿瘤的最大直径范围为3.0至5.0厘米，平均3.67厘米。术后无胆总管狭窄或胆漏。在案件中，五个没有出现胰瘘，六个经历过生化泄漏，三个有B级胰瘘,两个有C级胰瘘。
结论：腹腔镜胰中切除术，作为一种保护胰腺功能的方法，具有特定的手术风险和术后胰瘘的显着可能性，需要经验丰富的外科医生的专业知识来执行。
