Hem-o-lok结扎锁在腹腔镜脾切除术中的应用

Application of Hem-o-lok Ligation on the Splenectomy by Laparoscope

目的:探讨Hem-o-lok结扎锁在腹腔镜脾切除术中的可行性及安全性。方法:选取2012年1月-2013年6月在我院接受腹腔镜脾切除术的患者97例,随机分为观察组(49例)和对照组(48例)。观察组患者采用Hem-o-lok结扎锁双重夹闭脾动脉,对照组则采用ENDOLOOP结扎圈套器双重结扎脾动脉。对比两组患者的手术时间、术中出血量、术后切口感染、残余脓肿、粘连性腹痛及门静脉血栓等并发症的发生率、住院时间及手术费用。结果:采用Hem-o-lok结扎锁的观察组患者手术时间、术中出血量、并发症的发生率、住院时间及手术费用均优于采用ENDOLOOP结扎圈套的对照组,差异显著且具有统计学意义(P<0.05)。结论:Hem-o-lok结扎锁用于腹腔镜脾切除术具有很好的手术效果,不仅操作简单、安全有效,而且缩短了手术时间及术后并发症的发生率,值得临床推广应用。

Objective： To discuss the application of Hem-o-lok ligation on the treatment of splenectomy by laparoscope. Methods： 97 patients who were taken the splenectomy by laparoscope in our hospital from January 2012 to June 2013 were selected and randomly divided into the observation group （49 cases） and the control group （48 cases）. The patients in the observation group were treated by the Hem-o-lok ligation, while the patients in the control group were dealt with the ENDOLOOP ligation. Then the time of operation, the blood loss, the incidence of complications, the hospitalization and the comprehensive costs for the treatment were compared and analyzed between the two groups. Results： The time of operation, the blood loss, the incidence of complications, the hospitalization and the comprehensive cost for the treatment in the observation group by Hem-o-lok ligation were significantly lower than those of the patients in the control group that treated with ENDOLOOP ligation. There were statistically significant differences between the two groups （P〈0.05）. Conclusion： It is indicated that the application of Hem-o-lok ligation on the splenectomy by means of the laparoscope should be well promoted to the clinical field with the advantages of minimal trauma, less time and blood loss and lower incidence of postoperative complications.