摘要
目的:研究腹腔镜手术在脾脏外科的应用,总结各术式的手术技巧及围手术期的处理经验。方法:回顾分析2002年10月至2008年6月我们针对不同的脾脏疾病患者实施腹腔镜脾切除术的临床资料。结果:20例患者中成功实施18例,包括腹腔镜脾切除联合贲门周围血管离断术。2例肝炎后肝硬化合并单纯性脾功能亢进患者因脾周严重粘连而中转开腹。平均手术时间147.2min,术中平均出血154.4ml,术后腹腔引流量平均707.5ml。发生并发症3例,均经保守治疗痊愈。术后平均住院16.8d。结论:腹腔镜脾切除术已经成为血液病、脾脏良性肿瘤、外伤性脾脏破裂等切除脾脏的首选术式,同时可逐渐应用于门静脉高压症的外科治疗。
Objective ：To study the application of laparoscopy in splenic diseases, and to summarize the operation skill and experience. Methods：We collected and analyzed the clinical data of laparoscopic spleen operations performed as the treatment of hematonosis, hepatic cirrhosis with portal hypertension or hypersplenism, spleen rupture and spleen tumor from Oct. 2002 to Jun. 2008 in our hospital. Results：Eighteen patients received successful laparoscopic spleen operation, including laparoscopic splenectomy combined with extensive devascularization around the cardia. 2 patients suffering from hepatic cirrhosis with hypersplenism were converted to open surgery （ 10% ） because of serious adherence to surrounding organs. The average operative time was 147.2min. The average intraoperative blood loss was 154.4ml. There were 3 cases with postoperative complications cured by conservative treatment. The average time of post- operative hospitalization was 16.8d. Conclusions：Laparoscopic operation is the first choice for splenic diseases, such as hematonosis, benign spleen tumor and spleen rupture. It also can be applied in the surgical treatment for portal hypertension.
出处
《腹腔镜外科杂志》
2009年第5期332-334,共3页
Journal of Laparoscopic Surgery
关键词
脾疾病
门静脉压
腹腔镜术
脾切除术
Splenic diseases
Portal pressure
Laparoscopy
Splenectomy
