LSPDP术后胰瘘相关研究进展
Research Progress on Postoperative Pancreatic Fistula after LSPDP
DOI: 10.12677/acm.2026.1631000, PDF,   
作者: 王 丽, 胡明道*, 刘 锋, 张仁安：昆明医科大学第二附属医院肝胆胰脾外科一病区，云南 昆明；陈 鹏, 谭海霞, 周千钰：昆明医科大学第二附属医院肝胆胰脾外科四病区，云南 昆明
关键词: 腹腔镜；保留脾脏；胰体尾切除；术后胰瘘；手术并发症；Laparoscopy； Spleen Preservation； Distal Pancreatectomy； Postoperative Pancreatic Fistula； Surgical Complications
摘要: 腹腔镜下保留脾脏的胰体尾切除术(Laparoscopic Spleen-Preserving Distal Pancreatectomy, LSPDP)是治疗胰体尾部良性及低度恶性肿瘤的经典术式，主要包括保留脾血管的Kimura术和Warshaw术的两种方法。而传统胰体尾切除术常需联合脾脏切除，虽能降低手术操作难度，但脾脏作为人体重要的免疫器官和造血器官，其切除后会导致患者免疫功能下降，增加感染、血栓形成等并发症的发生风险。术后胰瘘(Postoperative pancreatic fistula, POPF)是胰腺远端切除常见且最较严重的并发症，是影响患者预后以及生活治疗的关键问题。本文主要将腹腔镜下保留脾脏的胰体尾切除术术后胰瘘的最近研究进展做一综述汇报。
Abstract: Laparoscopic spleen-preserving distal pancreatectomy (LSPDP) is a classic surgical procedure for the treatment of benign and low-grade malignant tumors of the distal pancreas. It mainly includes two approaches: the Kimura technique (preserving splenic vessels) and the Warshaw technique. Conventional distal pancreatectomy often requires concomitant splenectomy, which can reduce the difficulty of surgical manipulation. However, as a critical organ for immune function and hematopoiesis, splenectomy may lead to decreased immune function and increase the risk of complications such as infection and thrombosis. Postoperative pancreatic fistula (POPF) is a common and severe complication following distal pancreatectomy, and it is a key factor affecting patient prognosis and quality of life. This article reviews the recent research progress on postoperative pancreatic fistula after laparoscopic spleen-preserving distal pancreatectomy.
文章引用：王丽, 胡明道, 刘锋, 陈鹏, 张仁安, 谭海霞, 周千钰. LSPDP术后胰瘘相关研究进展[J]. 临床医学进展, 2026, 16(3): 2093-2099. https://doi.org/10.12677/acm.2026.1631000

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