腹腔镜脾切除术术中术后临床观察

Intraoperative and postoperative observation of laparoscopic splenectomy

目的：探讨腹腔镜脾切除术（ LS）的临床效果。方法对12例行腹腔镜脾切除术患者的手术时间、术中出血量、禁食时间、术后切口疼痛评分、术后住院时间进行观察分析。结果手术时间为155-182 min，平均为170 min；手术中出血量为85-100 ml，平均为94 ml；术后禁食时间为24-48 h，平均为40 h；术后第1天切口疼痛评分得分为2-4分，平均为3.1分；术后第3天切口疼痛评分为1-2分，平均为1.2分；术后住院时间为6-8 d，平均为7.3 d。结论腹腔镜脾脏切除术具有创伤小、患者痛苦少、术中出血少、术后恢复快、并发症少、术后切口疼痛小，住院时间短、伤口小而美观等优点，是行脾切除术患者的最佳选择。

Objective To explore the clinical effects of laparoscopic splenectomy（ LS） .Methods In 12 patients undergoing LS,the operative time, blood loss, fasting time, postoperative wound pain scores, postoperative hospital stay were observed and analyzed.Results The operative time was 155-182 min, with an average of 170 min;intraoperative bleeding was 85-100 ml, with an average of 94 ml;the postoperative fasting time was 24-48 h, with an average of 40 h;On the first postoperative day,the wound pain score was 2-4, with an average of 3.1 points;third postoperative day incision pain score was 1-2 points, with an average of 1.2 points;postoperative hospital stay was 6-8, with an average of 7.3 days.Conclusion This method has some superiorities, including less trauma, less patients′pain, less blood loss, faster recovery, fewer complications, a small incision pain, shorter hospital stay, and so on.It is the best choice for splenectomy patients.