Study On Clinical Analysis Of44Case Of Pancreatic Benign Tumor

Object：Pancreas has internal and external secretion function of the organ, AndPancreatic Benign Tumors include pancreatic internal secretion benign tumorsand Pancreatic external secretion benign tumors. In the clinical PancreaticBenign Tumors include: Non epithelial tumor has cystic lymphangioma、neurilemmoma、 angioma、 fibrous histiocytoma and pseudolymphoma;Epithelium tumor has serouspapillarycystadenoma (SCA)、 mucinouscy-stadenoma (MCN)、Intraductal papillary mucinous neoplasms(IPMN)、solidpseudopaillary of the pancreas(STPT)、Hippel-Lindau disease（HLD）Relatedcystic tumor、cystic teratoma and Lymphoepithelial cyst. Pancreatic BenignTumor differs from malignancy，most of which is without invasive growtheven borderline tumors rarely invade the surrounding organs and vessels; Aftersurgery the effect is relatively good. Mostly benign tumors have no obvioussymptoms, so they tend to be put less emphasis, which causes treatment rate tobecome low. With people’s emphasis of physical health and the improvement ofmodern examination method, more and more benign pancreatic tumors havealso been found. Therefore, accurate and timely diagnosis before the operation isessential， choose suitable operation method， reduce the occurrence ofpostoperative complications, these methods make the pancreas benign tumorrate rise gradually. This paper makes a retrospective analysis of44patients withPancreatic Benign Tumors throughout the last3years, for the diagnosis、thechoice of the ways of operation、the prevention and control of the postoperative complications of Pancreatic Benign Tumor Provide reference material.Method:44patients’ data is collected. Those patients, who are in the First Hospitalof Jilin Medical University, have undergone pathological observation bypathologists and are confirmed that they have Pancreatic Benign Tumor fromSeptember1,2010to February10,2013. The retrospective analysis of44patients the differences in terms of gender, age, laboratory examination value,imaging examination, operation method respectively.44patients are divided intoin22cases immediately group, are used respectively to resection of pancreaticbody or tail and laparpscopic body or tail pancreatectomy, are compared theincidence of pancreatic fistula. through statistical software SPSS19.0dataprocessing, count data by using Fisher accurate inspection, Significantdifferences for P<0.05, difference was not statistically significant for P>0.05.Results：(1) Pancreatic Benign Tumor in patients with clinical performance more thanthe abdominal pain and abdominal discomfort is given priority to, heartpalpitations, sweat, insanity, loss of consciousness symptoms in patients withbenign tumors of the pancreas. Besides the part of the patients for medicalexamination found abdominal mass without obvious clinical features.(2) laboratory examination often maintain in the normal range.12cases ofIslet cell tumor patients in8preoperative patients measure blood glucose (G)and insulin(Ins), Ins/G>0.3,are diagnosed insulinoma. Imaging examination is animportant means of diagnosis of Pancreatic Benign Tumor.44cases ofPancreatic Benign Tumor in preoperative patients check diagnosis of79.5%with CT (35/44),22case with Enhanced CT (22/44); preoperative patients checkdiagnosis of20.5%with Nuclear Magnetic Resonance Imaging(9/44).(3) the selection of operation mode of Pancreatic Benign Tumor depends ontumor growth-areas、judgment about benign and malignancy tumor In the operation, Including tumor capsule is complete or not, there is no Invasion ofsurrounding tissue、vessels and organs.(4) Pancreatic fistula is the main complication of pancreatic surgery, andpancreatic fistula of the patients is rate of22.7%. The22patients were acceptedresection of pancreatic body or tail and laparpscopic body or tail pancreatectomy.After statistics analysis: P>0.05, That was not statistically significant.Conclusions:Not all Pancreatic Benign Tumor show clinical symptoms, preoperativedefinite diagnosis is difficult, need many kinds of methods to enhance thediagnosis rate. laboratory examination often maintain in the normal range,except Part of the islet cell tumor. At present CT is still the main means ofpreoperative diagnosis. Surgical resection is the treatment of Pancreatic BenignTumor radical mean. Operation method depends on tumor growth-areas and thetumor during the benign and malignancy judgment In the perioperative.Pancreatic fistula is the main complication of pancreatic surgery and applicationof effective measures can reduce the occurrence accordingly.