摘要
目的分析腹腔镜脾切除术（LS）对脾占位性病变的可行性及安全性。方法回顾性分析2007年10月～2012年07月因脾脏占位性病变行LS的24例病人的临床资料。结果良性病变17例，其中包括脾囊肿9例，脾血管瘤5例，脾脓肿2例，脾淋巴管瘤1例；恶性病变7例，其中包括淋巴瘤6例，脾转移瘤1例，所有患者均经术前B超或CT检查明确脾占位性病变，24例均完成LS，无1例中转开腹，手术时间为48～192min，平均时间89rain，术中出血量20～400mL，平均80mL，平均住院时间7d，良性病变经2～59个月随访，均存活；恶性病变经5～34个月随访，6例淋巴瘤术后生存时间7～34月，1例脾转移瘤术后生存时间11月。结论LS安全、有效，对脾占位性病变有明确的诊治作用。
Objective To evaluate the feasibility and safety of laparoscopic splenectomy for some splenic occupied disease.Methods The clinical data of twenty-four cases of splenic occupied diseases after laparoscopic splenectomy from October 2007 to July 2012 were retrospectively analyzed.Results Benign diseases were found in 17 patients,including splenic cyst in 9 patients,hemangioma in 5,splenic abscess in 2 and lymphangioma in 1;malignant diseases were found in 7 patients,including lymphoma in 6 patients and metastatic tumor of spleen in 1.All patients were preoperatively diagnosed by B-US or CT.No operation was converted to open surgery,24 patients successfully underwent LS.The mean operation time was 89（48 - 192）minutes,and intraoperative mean blood loss was 80（24 ~ 400）mL.The mean hospitalization time was 7 days.The patients with benign tumor were followed up for 2 to 59 months and are all survived;The patients with malignant tumor were followed up for 5 to 34 months,6 lymphoma patients survived 7 to 34 months and the patient with metastatic tumor of spleen survived 11 months.Conclusion LS is relatively safe and effective,it plays an important role in the diagnosis and treatment of splenic occupied disease.
出处
《中国血液流变学杂志》
CAS
2012年第4期649-650,675,共3页
Chinese Journal of Hemorheology
关键词
脾肿瘤
腹腔镜脾切除术
splenic neoplasms
laparoscopic splenectomy
