摘要
目的：探讨腹腔镜脾切除术（1aparoscopic splenectomy，LS）的手术技巧。方法：对25例行LS患者的临床资料进行分析。结果：25例患者手术均获成功，无中转开腹。5例脾功能亢进患者采用手助LS，其余20例行完全LS。手术时间为80～400min，平均为（152±34）min。术中出血量为20～2000mL，平均为（290±171）mL。术后住院时间为2～21d，平均为7．5d。手术并发症3例（12．0％。3／25），其中皮下气肿1例，左侧腹壁广泛淤斑1例，脾热1例。15例特发性血小板减少性紫癜患者的总有效率为86．7％（13／15）。结论：LS安全可行，对于脾功能亢进者可以在手助LS下完成手术。
Objective： To investigate the surgical skills of laparoscopic splenectomy （LS）. Methods：The clinical data of 25 cases undergoing LS were retrospectively analyzed. Results：All operations were successful and no conversion to open surgery occurred. Five patients with hypersplenism underwent hand-assisted laparoscopic splenectomy （HALS）, and the other 20 patients underwent complete LS. The operating time was 80-400 （152 ± 34）min and the intraoperative blood loss was 20-2 000 （290±171）mL. The postoperative hospital stay was 2-21 days （mean： 7.5 days）. Postoperative complication occurred in 3 cases （12.0% ,3/25）, including one subcutaneous emphysema and one left lateral abdominal wall diffuse ecchymosis and one splenic fever. The total therapeutic response rate of ITP was 86.7 % （13/15）. Conclusions： LS is safe and feasible for splenectomy,and HALS technique could be considered for hypersplenism.
出处
《实用临床医学（江西）》
CAS
2007年第11期44-46,共3页
Practical Clinical Medicine
关键词
腹腔镜
脾切除术
疗效
iaparoscopic
splenectomy
efficacy
