|
|
|
| Discussion on Safety and Effectiveness of Laparoscopic Pancreaticoduodenectomy combined with Accelerated Rehabilitation Surgery |
| LI Xiaohui, et al |
| Puning People's Hospital, Guangdong Puning 515300, China |
|
|
|
|
Abstract Objective: To investigate the safety and efficacy of laparoscopic pancreaticoduodenectomy combined with accelerated rehabilitation surgery. Methods: 84 patients undergoing pancreaticoduodenectomy admitted to the hospital were enrolled according to the surgical procedure. 42 patients in the control group underwent open pancreaticoduodenectomy. 42 cases underwent laparoscopic pancreaticoduodenectomy. The safety and efficacy of the two groups of treatments were compared. Results: The operation time of the observation group was (543.8±59.2) min, which was higher than that of the control group. The intraoperative blood loss (191.5±56.2) mL in the observation group was 30.00% in the transfusion patients, which was lower than the control group (P<0.05). The VAS scores of the observation group at 2h, 6h and 12h after operation were lower than those of the control group (P<0.05). The delay of gastric emptying in the observation group was 6.0%, which was lower than that of the control group (26.0%) (P<0.05). The intensive care unit (2.4±0.8) days and the hospitalization time (14.6±1.3) days were shorter than the control group (P<0.05). The number of positive lymph nodes in the observation group was 1.0±0.4, the ratio of vascular invasion was 8.0%, the diameter of tumor was (2.7±0.6) cm, and the proportion of middle/middle-lower differentiated tumor was 42.0%, which was lower than that of the control group (P<0.05). Conclusion: Laparoscopic pancreaticoduodenectomy combined with accelerated rehabilitation surgery is safe and effective, which is worthy of promotion.
|
|
|
|
|
|
[1] 张乙川,蔡云强,高攀,等.保留幽门的腹腔镜胰十二指肠切除术安全性及可行性分析[J].局解手术学杂志,2017,26(5):348~351.
[2] 陈佰文,裘铠杰,李宏.腹腔镜胰十二指肠切除术的可行性和安全性[J].肝胆胰外科杂志,2017,29(5):411~414.
[3] 余杰,刘建生,郭建曻,等.九例腹腔镜下胰十二指肠切除术的临床疗效分析[J].中国医师进修杂志,2017,40(8):707~710.
[4] 蔡合,蔡云强,李永彬,等.腹腔镜胰十二指肠切除术在年龄≥70岁患者中的安全性研究[J].中华消化外科杂志,2017,16(10):1029~1035.
[5] 王传卓,刘兆玉.胰十二指肠切除术后迟发性出血的介入栓塞治疗[J].中国临床医学影像杂志,2016,27(12):899~903.
[6] 尹春梅,邓方园,王利群,等.围手术期优质护理对腹腔镜下结直肠癌根治术的效果影响[J].现代中西医结合杂志,2016,25(36):4094~4095,4096.
[7] 杨卫富,印山河,王黎,等.快速康复外科对腹腔镜结直肠癌手术患者胰岛素抵抗和炎性反应的影响[J].中国微创外科杂志,2017,17(5):450~454.
[8] 靳红绪,黄立宁,王忠义,等.加速康复外科策略对腹腔镜结直肠癌手术患者术后恢复的影响[J].临床麻醉学杂志,2016,32(12):1149~1153.
[9] 林木本,孙相钊,陈宗梅,等.支架联合腹腔镜Ⅰ期吻合术治疗左结直肠癌合并肠梗阻的应用研究[J].中国医药科学,2017,7(8):196~198
[10] 靳红绪,黄立宁,王忠,义等.加速康复外科策略对腹腔镜结直肠癌手术患者术后恢复的影响[J].临床麻醉学杂志,2016,32(12):1149~1153.
[11] 苗大壮,佟金学,贾云鹤,等.加速康复外科理念在腹腔镜辅助结直肠癌手术围手术期中的应用价值[J].实用肿瘤学杂志,2017,31(2):137~141 |
|
|
|
2019, Vol. 25 
