摘要
回顾性分析42例接受腹腔镜手术治疗的门静脉高压症巨脾患者的临床资料。根据切脾方法不同,将患者分为脾蒂优先处理组,常规腹腔镜脾切除组。脾蒂优先处理组的手术时间、出血量显著低于常规腔镜脾切除组(均P〈0.05)。两组患者中转开腹率、术后下床时间、排气时间、住院时间、并发症发生率差异无统计学意义(均P〉0.05)。脾蒂优先处理在腹腔镜门静脉高压症巨脾切除中有明显的优势,可降低手术难度、缩短手术时间、减少出血。
A retrospective study was conducted based on the clinical data of 42 patients of portal hypertension and splenomegaly who underwent laparoscopic splenectomy. The pa- tients were divided into two groups including pedicle priority group and conventional group by different operative method. The operation time and intraoperative blood loss in the pedicle priori- ty group were significantly lower than those in the conventional group ( both P 〈 0.05 ), and there was no statistically significant difference on the conversion rate of laparotomy, active time post- operation, exhaust time, postoperative hospitalization stay and the incidence of complications ( all P 〉 0.05). Priority process- ing for splenic pedicle has obvious advantages in laparoscopic splenectomy for portal hypertension and splenomegaly, and it could reduce the difficulty of operation, shorten the operation time and reduce bleeding.
出处
《中华肝胆外科杂志》
CSCD
北大核心
2017年第7期485-487,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
腹腔镜脾切除
脾蒂
门静脉高压症
巨脾
Laparoscopic splenectomy
Splenic pedi- cle
Portal hypertension
Splenomegaly