手助腹腔镜技术在巨脾切除中的应用  

The application of handassisted laparoscopic surgery in massive splenomegaly:with a case report and review of the literature

作　　者：轩诗进[1] 胡三元[1] 陈波[1] 薛瑞华[1] 

机构地区：[1]山东大学齐鲁医院,山东济南250012

出　　处：《腹腔镜外科杂志》2005年第2期72-75,共4页Journal of Laparoscopic Surgery

摘　　要：目的:探讨手助腹腔镜技术在巨脾切除术中的应用。方法:用手助腹腔镜技术实施1例巨脾切除术。结果:顺利完成手助腹腔镜巨脾切除,手术时间3h,术中失血30ml,切除脾脏约40cm×15cm×10cm大小,未中转开腹,无术中术后并发症发生,住院7d,治愈出院。结论:手助腹腔镜脾切除术对于巨脾是可行的、安全的,而且保留了微侵袭外科恢复快的优点,为组织学检查提供足够大的标本。Objective: To explore the application of the techniques of handassisted laparoscopic surgery for massive splenomegaly.Methods:The handassisted laparoscopic splenectomy was performed in 1 patient of hereditary spherocytosis with splenomegaly. Results: The procedure was successfully completed in 3 h with less intraoperative bleeding. No conversion from HALS to open surgery were necessary. The size of the specimen was 40cm×15cm×10cm. The operative blood loss was 30ml. The patient recovered smoothly within 7 days after operation without any postoperative complication.Conclusions: Handassisted laparoscopic splenectomy for massive splenomegaly is feasible and safe while preserving the recovery benefits of minimal access surgery. It provides an adequate specimen for histologic study.

关 键 词：脾切除术 腹腔镜 手助技术 巨脾 手术方法 

分 类 号：R657.6[医药卫生—外科学]