摘要
目的 探讨腹腔镜在小儿脾切除术中的应用。方法 2002年8月至2003年2月我院采用经腹腔镜对3例患儿行脾切除,其中2例为遗传性球形红细胞增多症,男女各1例,年龄分别是5岁、8岁,另1例17岁女孩,为血小板减少性紫癜。从手术指征、术前准备、腹腔镜手术的关键步骤及术后恢复等方面进行总结。结果 3例手术过程顺利,手术全程平均2.1h,其中经腹腔镜切脾时间平均为1.1h,将脾脏取出腹腔时间平均约1h。术中出血5～60ml不等。术后次日下床活动,术后观察7～11d,血常规化验正常后出院。随访2～6个月,一切正常。结论 经腹腔镜脾切除术具有创伤小、出血少、术后恢复快、腹部切口美观等优点,明显优于传统的手术方法。
Objective To sum up the results of laparoscopic splenectomy in children. Methods
Two patients with hereditary spherocytosis and one case with thrombocytopenic purpura underwent laparo-
scopic splenectomy between Aug. 2002 and Feb. 2003. The indication, preoperative preparation, proce-
dures and postoperative management were discussed. Results The duration of operation was 2.1 hours on
average. The estimated blood loss was from 5 to 60 ml. The counts of platlets, white blood cells and red
blood cells were returned to the normal range in all cases within 11 days after operation. The follow-up re-
sults from 2 ～ 6 months showed that all cases recovered uneventfully. Conclusions As compared with tradi-
tional procedure, laparoscopic splenectomy in children has advantages of minimal invasion, less blood loss
and faster recovery.
出处
《中华小儿外科杂志》
CSCD
北大核心
2003年第6期522-525,共4页
Chinese Journal of Pediatric Surgery
