摘要
目的探讨全脾栓塞对腹腔镜巨脾切除术（laparoscopic megasplenectomy，LMS）的价值。方法12例门脉高压巨脾脾亢病人采用全脾栓塞，再于4h内行完全腹腔镜下巨脾切除术，分析病人的临床资料。结果12例均顺利完成全脾栓塞及腹腔镜巨脾切除，无中转开腹，手术时间平均120．2min，术中出血量平均107．5ml，无术后并发症。结论对门脉高压巨脾者采用介入全脾栓塞后完全腹腔镜巨脾切除的方式，是一种可供选择的安全、有效的微创方法。
Objective To assess the value of total splenic embolization for laparoscopic megasplenectomy. Methods Twelve patients with portal hypertension and megalospleny received total splenic embolization 4 h before laparoscopie megaspleneetomy. Their clinical data were analyzed. Results The splenic embolization and laparoscopic megasplenectomy were completed successfully in all the 12 patients. There was no conversion to open surgery. The laparoscopic splenectomis were completed in a mean time of 120.2 min, with a mean estimated blood loss of 107.5 ml and no complications. Conclusion Total splenic embolization precedent to laparoscopic megasplenectomy is a safe, available and minimally invasive procedure in patients with portal hypertension and megalospleny.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2009年第11期823-825,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
腹腔镜术
脾栓塞
门静脉高压
Laparoscopiy
Splenic embolization
Portal hypertension
