摘要
目的探讨腹腔镜脾切除术的临床应用。方法回顾性分析海军总医院2010年6月—2012年1月腹腔镜脾切除治疗特发性血小板减少性紫癜9例,先天性溶血性贫血2例,原发性脾脏套细胞淋巴瘤1例的临床资料。结果 10例成功完成腹腔镜脾切除术,2例中转开腹手术,切除脾脏时间60~140 min(平均95 min),术中出血50~380 mL(平均160 mL)。术后24 h内恢复胃肠蠕动,次日恢复饮食和下床活动,住院时间4~14 d(平均8 d)。术后随访6~48个月,恢复良好。结论腹腔镜脾切除术是安全、有效、可行的治疗脾脏疾病的方法。
Objective To explore the clinical application of laparoscopic splenectomy (LS). Methods The clinical data of laparoscopic splenectomy (LS)in the treatment of idiopathic throm-bocytopenic purpura in 9 cases,congenital hemolytic anemia in 2 cases,primary spleen cell lym-phoma in 1 case from June 2010 to January 2012 in navy general hospital was retrospectively ana-lyzed.Results Ten cases of the LS were successful,2 cases by open operation.Removal of the spleen time was 60-140 min with an average of 95 min.Average intraoperative bleeding amount was from 50 to 380 mL,with awerage of 160 mL.Within 24 h after surgery for gastric bowel peristalsis the next day diet and ambulation restored,the hospital stay time was 4-14 days with an average of 8 days.Postoperative follow-up by 6-48 months,the patients recovered well.Conclusion Laparo-scopic splenectomy is safe,effective and feasible for chinical usage.
出处
《转化医学杂志》
2014年第2期99-101,共3页
Translational Medicine Journal
关键词
腹腔镜
脾切除术
Laparoscopic
Splenectomy
