摘要
目的:探讨LigaSure闭合系统在脾功能亢进患者行腹腔镜脾切除术中的应用价值。方法:为28例脾功能亢进患者施行完全腹腔镜脾切除术。应用LigaSure离断脾周韧带及部分脾蒂血管。结果:28例手术均获成功。手术时间55~210min,平均120min。术中出血30~220ml,平均115ml(不包括脾血)。22例术后少量腹水。术后12~24h恢复胃肠蠕动,术后24h拔除胃管并进流质饮食,术后住院5~9d,平均6.5d。结论:LigaSure可安全、有效地闭合脾周韧带和大部分血管,减少了术中出血,降低了手术风险。
Objective:To explore the value of LigaSure in laparoscopic splenectomy for hypersplenism.Methods:Twenty-eight patients with hypersplenism were operated by total laparoscopic splenectomy.The perisplenic ligaments and partial splenic pedicle vessels were dissected with LigaSure.Results:Twenty-eight operations were successful.The mean operative time was 120min (range 55-210),and mean blood loss without spleen blood was 115ml (range 30-220).22 patients had a little ascites after operation.The time of post-operative gastrointestinal function recovery was 12-24h.The stomach tube was removed and liquid diet was applied 24h after surgery.The mean postoperative hospital stay was 6.5d (range 5-9).Conclusions:LigaSure is safe and effective in closure of the ligament and most vessels of spleen in laparoscopic splenectomy,and decreases the loss of blood and risk of surgery.
出处
《腹腔镜外科杂志》
2010年第4期286-288,共3页
Journal of Laparoscopic Surgery