胰体尾段脾动脉结扎脾修补术14例分析

Analysis of 14 cases of splenorraphy with splenic arterial ligation at pancreatic body or tail

目的 探讨远离脾门结扎脾动脉后脾修补术治疗脾破裂。方法 剪开胃结肠韧带,在胰体尾后上方找到脾动脉后结扎,保留胃短动脉和胃网膜左动脉对脾脏的血供,并缝合脾裂口。结果 14例中1例出现脾坏死,其余13例保脾成功。结论 远离脾门结扎脾动脉主干后缝合修补,保脾效果良好。

Objective It is researched that the splenic injury were treated by ligation of splenic artery and splenorrahy. Methods After ligating the splenic artery at pancreatic body or tail, the splenic injury was sutured preserving the arteriae gastricae breves and arteria gastroepiploica sinistra. Results One of 14 cases was operated again because of splenic necrosis, the others were remained successfully. Conclusion It is good effect on preserving the spleen after splenorraphy and ligating the splenic arterial trunk far from hilus lienis.