手助腹腔镜脾切除术

Hand-assisted laparoscopic splenectomy

目的 探讨手助腹腔镜脾切除术手术技术。 方法 用手助腹腔镜技术完成 5例腹腔镜脾切除术 ,其中原发性血小板减少性紫癜 (ITP) 3例 ,血吸虫性肝硬变、脾肿大及脾功能亢进伴胆囊结石2例。 3例行手助腹腔镜脾切除术 ;2例同时行腹腔镜胆囊切除与手助腹腔镜巨脾切除。 结果 2h～ 5h完成手术 ,术中出血少。患者术后恢复顺利。 结论 手助腹腔镜脾切除术操作安全、手术时间短 ,并使腹腔镜切除较大脾脏成为可能。

Objective To study the technique of hand-assisted laparoscopic splenectomy. Methods 5 patients with idiopathic thrombocytopenic purpera, splenomegaly and hypersplenia with gallstones were operated on laparoscopically by using hand-assisted technique. Results The procedures were completed successfully in 2hr～5 hr without too much intraoperative bleeding. All the patients completely recovered within 3 days. Conclusions Hand-assisted laparoscopic splenectomy can be performed safely and efficiently with shorter operation time, which makes possible to remove larger spleens.