摘要
目的探讨腹腔镜二级脾蒂离断法脾切除手术安全性及临床效果。方法对2008年~2013年我院实施32例腹腔镜二级脾蒂离断法脾切除术患者的临床资料进行回顾性分析。包括10例肝硬化脾功能亢进,l5例原发性血小板减少性紫癜(ITP),3例脾破裂,4例脾良性占位。结果30例均完成完全腹腔镜二级脾蒂离断法脾切除术,2例中转开腹。30例腹腔镜手术平均手术时间225min,术中平均失血530ml,术后平均禁食2.5d,引流管4d,术后平均住院9d。术后均无并发症发生。结论掌握好脾切除术的手术指征及腹腔镜下的操作技巧,腹腔镜二级脾蒂离断法脾切除是安全的,并且能达到创伤小、恢复快、并发症少的微创目的。
Objective To investigate the safety and clinical effects.Methods Clinical data of 32 cases of laparoscopic splenectomy with amputation of secondary structures in our hospital implementation were retrospectively analyzed from 2008 to 2013.Including 10 cases of cirhosis of the liver associated with hypersplenism,l5 cases of idiopathic thrombocytopenic purpura(ITP),3 cases of splenic rupture,4 cases of splenic benign placeholder.Results Operation of al the 32 cases were successful y completed except 2 cases convemion to open surgery for hemorhoea,The average operation time and blood loss were 225min and 530mL respectively.The postoperative hospital stay was average 9d,The time of postoperative fasting and drainage tube were 2d and 4d respectively,There is no severe complications.Conclusion Mastering surgical indications of splenectomy and laparoscopic operation technique,laparoscopic splenectomy with amputation of secondary structures is safe,and can achieve smal trauma,quick recovery,less complications of minimal y invasive purpose.
作者
李兴
LI Xing(Chengdu Hospital of Combination of Traditional Chinese and Western Medicine,Chengdu 610017,Sichuan,China)
关键词
腹腔镜
腹腔镜二级脾蒂离断法脾切除术
Laparoscopic
Laparoscopic splenectomy with amputation of secondary structures
