腹腔镜脾、胆囊联合切除治疗先天性溶血性贫血和胆囊结石

Single-stage laparoscopic splenectomy and cholecysterctomy for the management of patients with congenital hemolytic anemia and cholecystolithiasis.

目的 探讨腹腔镜下脾、胆囊联合切除治疗先天性溶血性贫血及胆囊结石的可行性。 方法 应用腹腔镜对 8例溶血性贫血及胆囊结石进行脾及胆囊联合切除。 结果 8例手术成功 ,平均住院 7 5天。术中及术后无并发症发生。 结论 腹腔镜下脾、胆囊联合切除治疗先天性溶血性贫血及胆囊结石病切实可行 ,该手术方法具有病人痛苦少和住院时间短的优点。

Objective To explore the feasibility of laparoscopic splenectomy and cholecysterctomy in the treatment of patients with congenital hemolytic anemia and cholecystolithiasis. Methods 8 patients with congenital hemolytic anemia and cholecystolithiasis were operated on by single-stage splenectomy and cholecysterctomy. Results The procedures were successfully accomplished in all patients. The average hospitalization was 7.5 days. No intraoperative and postoperative complications occurred in all of the 8 patients. Conclusions Single-stage laparoscopic splenectomy and cholecysterctomy is the therapy of choice for patients with congenital hemolytic anemia and cholecystolithiasis. The kind of operation is a minimally invasive approach and has the advantages of less injury and short hospital stay.