摘要
目的:探讨腹腔镜巨脾切除术的安全性及临床效果。方法:回顾分析12例腹腔镜巨脾切除术的临床资料。结果:12例中1例中转开腹,11例成功完成腹腔镜巨脾切除术,手术时间150~200min(平均160min),术中失血20~200ml(平均120m1),术后胃肠蠕动恢复时间12—24h,术后平均住院5.5d,无手术死亡病例,发生并发症3例,1例术后皮下气肿,1例术中降结肠损伤,1例术后门静脉血栓形成。结论:腹腔镜巨脾切除术安全可行,但必须具有良好的腹腔镜技术和开腹脾切除经验。
Objective:To evaluate the feasibility and efficacy of laparoscopic megalosplenic resection. Methods:The clinical data of 12 cases underwent laparoscopic megalosplenic resection were retrospectively reviewed. Results:l case was converted to open surgery, 11 cases of laparoscopic megalosplenic resection were successful with operation time from 150 to 200min( average 160min), bleeding volume 20 to 200ml ( average 120ml), the recovery time of gastrointestinal function from 12 to 24 hours. The average postoperative hospitalization was 5.5 days, and there was no mortality. Postoperative complications occurred in 3 cases including subcataneous emphysema,injury to descending colon and portal vein thrombosis separately. Conclusions: Laparoscopic megalosplenic resection is a safe and feasible procedure that required advanced laparoseopic surgical skills and open splenectomy technique.
出处
《腹腔镜外科杂志》
2006年第5期371-372,共2页
Journal of Laparoscopic Surgery
关键词
脾疾病
巨脾切除术
腹腔镜
Splenic disease
Megalosplenic resection
Laparoscopy