脾疾病；巨脾切除术；腹腔镜_

腹腔镜巨脾切除术12例临床分析

http://www.100md.com 《腹腔镜外科杂志》 2006年第5期

脾疾病；巨脾切除术；腹腔镜,,脾疾病；巨脾切除术；腹腔镜,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜巨脾切除术的安全性及临床效果。方法：回顾分析12例腹腔镜巨脾切除术的临床资料。结果：12例中1例中转开腹,11例成功完成腹腔镜巨脾切除术,手术时间150~200min(平均160min)，术中失血20~200ml(平均120ml),术后胃肠蠕动恢复时间12~24h,术后平均住院55d,无手术死亡病例,发生并发症3例,1例术后皮下气肿,1例术中降结肠损伤,1例术后门静脉血栓形成。结论：腹腔镜巨脾切除术安全可行,但必须具有良好的腹腔镜技术和开腹脾切除经验。

    【关键词】脾疾病；巨脾切除术；腹腔镜

    A clinical analysis of laparoscopic megalosplenic resection in 12 cases

    WU Zhiming,LOU Jianping,DAI Mingsheng,et al.

    Department of Surgery,Shaoxing No.4 Hospital,Shaoxing 312030,China

    【Abstract】 Objective:To evaluate the feasibility and efficacy of laparoscopic megalosplenic resection.Methods:The clinical data of 12 cases underwent laparoscopic megalosplenic resection were retrospectively reviewed.Results:l case was converted to open surgery,11 cases of laparoscopic megalosplenic resection were successful with operation time from 150 to 200min(average 160min),bleeding volume 20 to 200ml(average 120ml),the recovery time of gastrointestinal function from 12 to 24 hours.The average postoperative hospitalization was 5.5 days,and there was no mortality.Postoperative complications occurred in 3 cases including subcataneous emphysema,injury to descending colon and portal vein thrombosis separately.Conclusions:Laparoscopic megalosplenic resection is a safe and feasible procedure that required advanced laparoscopic surgical skills and open splenectomy technique. ......

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