手助腹腔镜胃底贲门周围血管离断巨脾切除术——2例报告

Hand -assisted laparoscopic megalosplenic resection and portozygos disconnection:Experience in 2 patients

目的 探讨腹腔镜胃底周围血管离断脾切除的方法。 方法 2 0 0 1年 8月～ 2 0 0 2年 5月 ,2例门脉高压、脾功能亢进患者接受了手助腹腔镜胃底周围血管离断脾切除术。 结果 2例顺利完成手术 ,术中出血 30 0、35 0ml,手术时间 2 35、2 6 5min ,按期出院 ,无并发症发生。 结论 手助腹腔镜胃底周围血管离断脾切除是一种安全、微创而效果良好的手术。

Objective To explore the method of laparoscopic splenectomy and pericardial devascularization . Methods Hand - assisted laparoscopic megalosplenic resection and portozygos disconnection (HLMRPD) was perfor medin 2 patients with portalhy pertension and hypersplenism from August 2 0 0 1to May 2 0 0 2 . Results Theoperation was completedsucces sfully in both patients.The intraoperative blood losswas 30 0ml and 35 0ml,respectively ,and the operation time ,2 35 min and 2 6 5 min ,respectively .Both patients recovered smoothly without posto perative complications . Conclusions HLMRPD is a safe ,minimally invasive and effective procedure.