摘要
目的:探讨预结扎脾动脉腹腔镜巨脾切除术的方法和疗效。方法:为12例巨脾伴脾功能亢进患者行腹腔镜脾切除术。术中预结扎脾动脉,超声刀解剖脾周韧带,Endo-GIA离断脾蒂。结果:12例患者均顺利完成手术,无中转开腹及并发症发生。术后血小板、白细胞均明显上升。结论:随着超声刀、Endo-GIA等先进器械的应用,预结扎脾动脉腹腔镜巨脾切除术已成为治疗巨脾、脾功能亢进的有效术式。
Objective :To explore the method and therapeutic effect of laparoscopic splenectomy for megalosplenia with pre-ligation of splenic artery. Methods: Laparoscopic splenectomy was performed in 12 patients with megalosplenia combined with hypersplenism. Before the perisplenic ligaments were dissected by ultrasonic dissector and splenic pediele was cut with Endo-GIA stapler ,the splenic artery was ligated first. Results : Laparoscopic spleneetomies were successfully performed in 12 patients. There was no conversion to laparotomy and post-operative complications. The number of platelet and WBC increased obviously after operation. Conclusions : The application of advanced instruments such as ultrasonic dissector and Endo-GIA renders the laparoscopic splenectomy with pre-ligation of splenic artery to be an effective method for the treatment of megalosplenia and hypersplenism.
出处
《腹腔镜外科杂志》
2009年第5期344-345,共2页
Journal of Laparoscopic Surgery