手助腹腔镜技术在巨脾切除中的应用
脾切除,,脾切除，腹腔镜；手助；巨脾,1资料与方法,2结果,3讨论,参考文献：
【摘要】目的：探讨手助腹腔镜技术在巨脾切除术中的应用。方法：用手助腹腔镜技术实施1例巨脾切除术。结果：顺利完成手助腹腔镜巨脾切除，手术时间3h，术中失血30ml，切除脾脏约40cm×15cm×10cm大小，未中转开腹，无术中术后并发症发生，住院7d，治愈出院。结论：手助腹腔镜脾切除术对于巨脾是可行的、安全的，而且保留了微侵袭外科恢复快的优点，为组织学检查提供足够大的标本。【关键词】脾切除，腹腔镜；手助；巨脾
The application of handassisted laparoscopic surgery in massive splenomegaly:with a case report and review of the literature
XUAN Shijin, HU Sanyuan, CHEN Bo, et al.
Qilu Hospital of Shandong University，Jinan 250012， China
【Abstract】Objective: To explore the application of the techniques of handassisted laparoscopic surgery for massive splenomegaly.Methods:The handassisted laparoscopic splenectomy was performed in 1 patient of hereditary spherocytosis with splenomegaly. Results: The procedure was successfully completed in 3 h with less intraoperative bleeding. No conversion from HALS to open surgery were necessary. The size of the specimen was 40cm×15cm×10cm. The operative blood loss was 30ml. The patient recovered smoothly within 7 days after operation without any postoperative complication.Conclusions: Handassisted laparoscopic splenectomy for massive splenomegaly is feasible and safe while preserving the recovery benefits of minimal access surgery. It provides an adequate specimen for histologic study. ......
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