摘要
目的探讨三孔法腹腔镜脾切除术的可行性及手术要点。方法 2009年2月至2012年7月对8例患者行三孔法腹腔镜脾切除术,对手术时间、术中出血量、术后并发症等进行总结。结果 8例患者均成功完成了腹腔镜脾切除术,无中转开腹;手术时间140～210 min;出血量80～400 ml;术后1～3 d肠蠕动恢复,术后3～4 d拔除腹腔引流管;无手术并发症发生。结论经过严格选择的患者行三孔法腹腔镜脾切除术是安全可行的,手术成功的关键是术中仔细操作,防止大出血的发生。
Objective To investigate the feasibility and operative key points of laparoscopic splenectomy（LS）by three-hole method.Methods LS by three-hole method was performed in 8 patients from February 2009 to July 2012,to sum up the operation time,amount of bleeding during the operation and postoperative the complications.Results Eight patients underwent LS,no case was shifted to open surgery.Their mean operation time was 140-210 minutes,and the mean amount of bleeding during the operation was 80-400 ml.The bowl began to move in the first day to the third day after the operation.The drainage tube was drew in the third day to the fourth day after the operation,no complication happened.Conclusion Base on the cautious choices of patients undergoing LS by three-hole method is safe and effective,the key point is to operate carfully,and to avoid the big amount of bleeding.
出处
《临床医学》
CAS
2013年第2期13-15,共3页
Clinical Medicine
关键词
腹腔镜
脾切除术
并发症
Laparoscopy
Splenectomy
Complication
