关键词: Kimura 法, 保留脾脏, 腹腔镜, 胰体尾切除术

Abstract:

Objective To investigate the efficacy and safety of Kimura method in laparoscopic pancreatectomy with spleen preservation. Method The clinical data of 32 patients with splenopancreatic body caudal lesions treated in Suzhou Hospital Affiliated to Nanjing Medical University from January 2018 to December 2021 were retrospectively analyzed. The 20 patients treated with Kimura method of spleen preserving laparoscopic pancreatectomy were the observation group, and the 12 patients treated with traditional surgery were the reference group. The relevant clinical indicators and complications of the two groups were compared. Result The amount of intraoperative bleeding in the observation group was less than that in the reference group, and the operation time, postoperative ambulation time, postoperative exhaust time, postoperative drainage time and hospitalization

time were shorter than those in the reference group (P ＜ 0.05); the incidence of complications in the observation group was lower than that in the reference group（ P ＜ 0.05）. Conclusion Kimura method of laparoscopic tail and body pancreatectomy with spleen preservation is more effective in the treatment of patients. Compared with the traditional surgical treatment, Kimura method of laparoscopic tail and body pancreatectomy with spleen preservation causes less trauma and lower risk of complications, which can effectively promote the postoperative recovery of patients.

Key words: Kimura method, Preserving spleen, Laparoscope, Resection of body and tail of pancreas