腹腔镜脾切除术的研究进展

Current Advances in Laparoscopic Splenectomy

目的探讨腹腔镜脾切除术(laparoscopic splenectomy,LS)的手术方法、安全性及临床效果。方法对当前国内、外有关腹腔镜脾切除的研究报道及最新进展进行综述和分析。结果随着技术的进步,LS的适应证逐渐扩大;脾脏大小是影响LS手术效果的重要因素。结论LS具有微创外科的一切优点。对于巨大脾脏,选择手助的LS是安全可行的,且比开腹手术具有优越性。随着手术者经验的积累及手术方法、操作器械的不断改进,LS将越来越广泛地被应用于临床。

Objective To evaluate the operation of laparoscopic splenectomy （LS）, its safety and clinical effects. Methods Literature of the advances of LS were reviewed and analyzed. Results With the development of technology and surgical technique, the indications for LS were widened, the size of spleen plays an important role in the clinical outcome of LS. Conclusion LS has all the advantages of minimally invasive surgery. The application of hand-assisted technique is safe and feasible for giant spleen. With the accumulation of surgical experiences and technique development, LS will be extensively used in clinic.