腹腔镜与传统开腹脾切除术的比较

Clinical effect analysis of laparoscopic splenectomy and traditional open splenectomy

目的:探讨腹腔镜脾切除术(laparoscopic splenectomy,LS)的临床应用价值。方法:将31例行脾切除的患者随机分为腹腔镜手术组(LS组)15例和传统开腹脾切除手术组(OS组)16例,对2组手术时间、术中失血量、术后恢复情况、术后并发症和住院费用等进行比较。结果:31例手术均获成功,LS组的切口长度、肛门排气时间、下床活动时间和住院时间均短于OS组(P<0.05～P<0.01);LS组的住院费用高于OS组(P<0.01);而2组的术中出血量及手术时间、并发症发生率差异均无统计学意义(P>0.05)。结论:对于大多数脾脏疾病,LC安全可行,是一种临床效果良好的微创手术方式。

Objective：To investigate the the clinic application value of laparoscopic splenectomy（LS）. Methods： Thirty-one cases with splenectomy were treated with LS （15 cases） and open splenectomy （OS） （16 cases）. The operation time, intraoperative bleeding, postoperative recovery and complications and hospitalization expense of all cases were evaluated. Results： All cases were successfully operated. The length of incision, the time of anal exhaust and out of bed and the hospital stay of LS group were shorter than that of OS group（ P 〈 0.05 to P 〈 0.01 ）, while its hospitalization expense was high （P 〈 0.01 ）. The operative time, bleeding loss and complications of two groups were not statistically significant （ P 〉 0.05 ）. Conclusions： Laparoscopic splenectomy is a safe, feasible, good effects and minimally invasive surgery for most spleen diseases.