摘要
目的探讨腹腔镜解剖性脾切除手术的方法与优点。方法回顾性分析31例接受了腹腔镜解剖性脾切除术患者的临床资料。结果27例顺利完成手术,出血5～300mL,手术时间50～250min。术后5～9d患者出院,无并发症发生。1例术中因脾血管出血中转开腹手术。1例为手辅助脾切除术。1例门静脉高压患者切下脾后开腹止血。同时行门奇静脉断流术2例。同时行腹腔镜胆囊切除术(LC)8例。1例行胆囊切除并脾下极部分切除术。结论腹腔镜解剖性脾切除术可以明显减少术中出血的危险,是一种安全且效果良好的手术。
【Objective】To study how to manage laparoscopic anatomical splenectomy and its advantages.【Methods】Laparoscopic anatomical splenectomy（n =30）,laparoscopic spleen part resection（n =1） were done between Mar-1999 and Nov-2007.【Results】27 cases were operated on successfully.Operation time was 50～250 minutes.The blood loss in operation was 5～300 mL.The average postoperative hospital stay was 5～9 days.One patient converted into open hemostasis.No complication occurred.【Conclusions】Our experiences revealed that laparoscopic anatomical splenectomy can decrease dangerous opportunities of bleeding,it is a safe and efficient operation.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第1期4-7,共4页
China Journal of Endoscopy
关键词
腹腔镜
解剖性脾切除术
外科
手术
laparoscopic
anatomical splenectomy
surgery
procedures
