NGHIÊN CỨU BIẾN CHỨNG SAU PHẪU THUẬT NỘI SOI CẮT THÂN ĐUÔI TỤY BẢO TỒN LÁCH

Abstract

Objectives: Evaluating the complications of laparoscopic spleen-preserving distal pancreatectomy with Kimura’ technique at Ha Noi Medical University. Subjects and methods: A retrospective descriptive study on 12 patients with laparoscopic spleen-preserving distal pancreatectomy with Kimura’ technique at Ha Noi Medical University for 5 years from 2018 to 2023. Results: We perform laparoscopic spleen-preserving distal pancreatectomy with Kimura’ technique for 12 patients. The mean age was 35.4 ± 11.3. The rate of pancreatic fistula is 58.3%, grade A: 41,6%, grade B: 16,6%. There is no case of transferring open surgery or blood transfusion during surgery. There are 2 cases of reoperation due to postoperative bleeding, in which, one case by laparoscopic surgery, one case by open surgery due to shocking blood loss, no mortality. Conclusion: Kimura's technique for laparoscopic spleen-preserving distal pancreatectomy is safe and feasible, which can be applied to benign tumors in the body and tail of pancreas. However, this is a difficult technique, the rate of postoperative complicaions is still high in laparoscopic surgery that requires surgeons to have a lot of experience and equipment needs to be adequate.