摘要
目的:探讨腹腔镜脾切除联合胆囊切除术治疗先天性溶血性贫血的疗效。方法:回顾分析2005年10月至2009年2月行腹腔镜脾切除联合胆囊切除术治疗6例先天性溶血性贫血并胆囊结石患者的临床资料。结果:6例手术均获成功,无中转开腹,术后未发生出血、感染、血栓及胰瘘等并发症;手术时间2.5～4h,平均2.8h;术中出血100～500ml,平均(176.7±158.8)ml;术后住院(8.5±1.8)d。结论:腹腔镜脾切除联合胆囊切除术治疗溶血性贫血及胆囊结石安全、可靠,具有微创优势。
Objective ： To explore the therapeutic effect of laparoscopic splenectomy combined with cholecystectomy in treatment of congenital hemolytic anemia and cholecystolithiasis. Methods ： The clinical data of 6 patients with congenital hemolytic anemia and cholecystolithiasis who underwent laparoscopic splenectomy combined with cholecystectomy from Oct. 2005 to Feb. 2009 were retrospectively analyzed. Results：The procedure was successful in each of 6 cases. None was converted to laparotomy. No postoperative complications, such as hemorrhage, infection, thromboembofism and pancreatic fistula occurred. The operative time was 2.5-4h （ mean, 2.8h）, the blood loss was 100-500ml, mean （176.7± 158.8 ）ml, and the postoperative hospital stay was （8.5±＋ 1.8 ）d. Conclusions：The combination of laparoscopic splenectomy and cholecystectomy is a safe, reliable and minimally invasive technique for the patients with congenital hemolytic anemia and cholecystolithiasis.
出处
《腹腔镜外科杂志》
2010年第5期357-359,共3页
Journal of Laparoscopic Surgery
关键词
贫血
溶血性
先天性
胆囊结石病
脾切除术
胆囊切除术
腹腔镜
Anemia, hemolytic, congenital
Cholecystolithiasis
Splenectomy
Cholecystectomy, laparoscopic
作者简介
李建国（1963-）男，福建医科大学附属漳州市医院普外一科主任，教授，主任医师，硕士研究生导师，主要从事肝胆胰脾外科及腹腔镜外科的研究。
