手助腹腔镜下脾切除及贲门周围血管离断术的应用研究  

Hand-assisted laparoscopic splenectomy and pericardial devascularization

作　　者：朱安东[1] 刁守志[1] 郝彬[1] 陈德兴[1] 王世清[2] 

机构地区：[1]吉林省前卫医院普外科,长春130012 [2]吉林省白城中心医院普外科,白城137000

出　　处：《中国微创外科杂志》2005年第11期884-885,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨手助下腹腔镜脾切除及贲门周围血管离断术在肝硬化、门脉高压治疗中的应用价值。方法应用Ligasure及超声刀手助腹腔镜下脾切除10例,贲门周围血管离断术13例。结果23例均完成腹腔镜手术,脾切除手术时间(63±15.5)min,术中出血量(32.4±21.2)ml;贲门周围血管离断术手术时间(115.3±25.5)min,术中出血量(52.4±24.2)ml。术后(12.2±3.8)h离床活动。结论应用Ligasure及超声刀手助腹腔镜下脾切除及贲门周围血管离断术安全性高、出血量小、术后恢复快,可以用于门脉高压、脾功能亢进的手术治疗。Objective To explore the application value of hand - assisted laparoscopic splenectomy and pericardial devascularization in the treatment of liver cirrhosis and portal hypertension. Methods Hand - assisted laparoscopic operations of splenectomy in 10 patients and perieardial devascularization in 13 patients were completed by using the LigaSure device and harmonic scalpel. Results All the operations were completed successfully under laparoscope. Of splenectomy, the operative time was 63 ± 15.5 min and the estimated blood loss was 32.4 ± 21.2 ml. Of pericardial devascularization, the operative time was 115.3 ± 25.5 min and the estimated blood loss was 52.4 ± 24.2 ml. All the patients got out of bed and moved around at 12.2 ± 3.8 h after operation. Conclusions Hand -assisted laparoscopic splenectomy and pericardial devascularization using the LigaSure device and harmonic scalpel has advantages of high reliability, little blood loss, and quick postoperative recovery. The procedure can be used in the management of portal hypertension and hypersplenism.

关 键 词：腹腔镜 脾切除 贲门周围血管离断术 

分 类 号：R657.3[医药卫生—外科学]