腹腔镜巨脾切除术29例临床分析

A clinical analysis of laparoscopic megalosplenic resection in 29 cases

目的探讨腹腔镜巨脾切除术的安全性及临床疗效。方法对29例巨脾伴脾功能亢进行腹腔镜脾切除术患者的临床资料进行回顾性分析。结果28例成功行腹腔镜脾切除术，1例中转开腹。手术时间为100～210min，平均（160±30）min；术中出血量为50～1200ml，平均（150±50）ml；术后住院4～9d，平均（6±2）d。术后并发睥热2例。结论随着腹腔镜器械的改进和操作技巧的熟练，腹腔镜巨脾切除术是安全可行且疗效确切的。

Objective To investigate the safety and clinical effects of laparoscopic megalosplenic resection. Methods We have analyzed the clinical data of 29 cases of megalosplenia combined with hypersplenism undergoing laparoscopic splenectomy （LS）. Results All 29 cases received LS,among them one case was converted to open surgery and the remaining 28 cases received complete IS. The operating time was 100 -210 min（mean 160 ± 30 min）, intraoperative blood loss was 50 to 1200 ml （mean 150 ±50 ml） and the postoperative hospital stay was 4 -9 days （mean 6 ± 2 days）. Slenic fever occurred in 2 cases postoperatively. Conclusion With improvement of the laparoscopic equipment and availability of skillful techniques, laparoscopic megalosplenic resection is thought to be safe, reliable and its outcome is definite as well.