摘要
目的:探讨腹腔镜手术治疗不同脾脏疾病的安全性及疗效。方法:回顾分析2011年行腹腔镜手术治疗的20例不同类型脾脏疾病患者的临床资料。结果:20例患者中16例顺利完成腹腔镜脾切除术(laparoscopic splenectomy,LS),3例中转改良手助腹腔镜脾切除术(hand-assisted laparoscopic splenectomy,HALS),1例中转开腹行脾切除、联合断流术。患者平均手术时间为(116.3±44.4)min(75~240 min);平均术中出血量为(108.8±235.1)mL(10~1000 mL);术后平均住院时间为(7.8±2.3)d(5~13 d)。20例患者中,术后腹腔引流液淀粉酶升高1例。术后病理结果显示,特发性血小板减少性紫癜(idiopathicthrombocytopenic purpura,ITP)5例,小B细胞性淋巴瘤1例,淤血性脾肿大8例,其余6例脾占位患者包括脾血管瘤2例、脾脉管瘤3例、继发性囊肿1例。结论:腹腔镜手术可作为脾脏疾病的首选治疗手段。
Objective:To evaluate the safety and efficiency of laparoscopic surgery for different types of spleen diseases. Methods: The clinical data of 20 patients with different types of spleen diseases who underwent laparoscopic surgery in 2011 were reviewed. Results: In 20 patients, 16 patients underwent laparoscopic spleneetomy(LS) successfully, 3 patients were converted to modified hand-assisted laparoscopic splenectomy(HALS) and 1 patient was converted to open surgery. The average operative time was (116.3 ± 44.4)min (75-240 min); the average blood loss during operation was (108.8 ± 235.1)mL (10-1000 miD, and the average hospital stay after operation was (7.8 ± 2.3) d(5-13 d). Amylase level in abdominal drainage fluid was high in one case. The pathologic diagnosis showed that 5 patients had idiopathic thrombocytopenic purpura(ITP), 1 patient had small B lymphocyte lymphoma,8 patients had congestive splenomegaly,2 patients had spleen angioma,3 patients had spleen hemangioma,and 1 patient had cyst of spleen. Conclusions: Laparoscopic surgery is safe and effective in different types of spleen diseases.
出处
《中国临床医学》
2013年第2期147-149,共3页
Chinese Journal of Clinical Medicine
关键词
腹腔镜手术
脾脏疾病
特发性血小板减少性紫癜
脾占位
门静脉高压症
Laparoscopic surgery
Spleen diseases
Idiopathic thrombocytopenic purpura
Occupied diseases of spleen
Portal hypertension