- 期刊
Laparoscopic Roux-en-Y Cystojejunostomy for Pancreatic Pseudocyst: Report of a Case
利用腹腔鏡施行 Roux-en-Y 囊腫空腸吻合術以處理胰臟假性囊腫：病例報告
摘要
自從西元1987年腹腔鏡膽囊切除手術成功的施行以來，腹腔鏡已經廣泛的被運用在各類腹部手術，包括：膽囊切除、總膽管取石、闌尾切除、大腸腫瘤切除、胃部分切除、肝臟部分切除，甚至於胰臟的手術。由於腹腔鏡器械的發展，以及外科醫師的腹腔鏡技術越來越進步，越來越多複雜困難的手術也可以腹腔鏡來完成。對於胰臟的假性囊腫之處理，包括、外引流、內引流（可運用內視鏡或手術方式），以及手術切除。而對於已成熟並有症狀的胰臟假性囊腫，手術內引流更是第一選擇。在此，我們報告一病人因患有慢性胰臟炎併發之假性囊腫而接受腹腔鏡Roux-en-Y囊腫空腸吻合手術。我們認為，在經過術前仔細評估選擇後，選擇以腹腔鏡方式來處理某些胰臟假性囊腫病例的確能獲得良好療效。
關鍵字
無資料並列摘要
Laparoscopic surgery has been widely applied in abdominal operations since the introduction of laparoscopic cholecystectomy. With improvement in surgeons' techniques and instruments, laparoscopic procedures have become feasible in more advanced general surgery. Herein we present a successful laparoscopic Roux-en-Y cystojejunostomy, performed at Veterans General Hospital-Kaohsiung, for a patient with pancreatic pseudocyst. This patient had a history of heavy drinking, and suffered from upper abdominal discomfort for more than one year. He visited our emergency room due to severe upper abdominal pain with radiation to the back. After serial studies, a pancreatic pseudocyst was diagnosed. He underwent laparoscopic Roux-en-Y cystojejunostomy, and has been well ever since. Laparoscopic approach can be used to treat pancreatic pseudocysts in some selected patients.
延伸閱讀
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