手助腹腔镜脾切除贲门周围血管断离术联合术前内镜套扎术治疗门脉高压症  

Hand-assisted laparoscopic splenectomy plus pericardial devascularization combined with endoscopic varicose vien ligation for patients with portal hypertesion

作　　者：梁建忠[1] 邵子力[1] 杨学伟[1] 彭和平[1] 

机构地区：[1]广州医学院第二附属医院普通外科,广东广州510260

出　　处：《国际医药卫生导报》2006年第16期26-27,共2页International Medicine and Health Guidance News

摘　　要：目的探讨手助腹腔镜脾切除贲门周围血管断离术联合术前内镜套扎术治疗门脉高压症的疗效和安全性、有效性。方法2001年1月～2005年12月,对13例肝硬化门静脉高压症胃底食管静脉曲张破裂出血及脾功能亢进患者先行内镜下食管曲张静脉套扎术,1～2周后行手助腹腔镜脾切除术加贲门周围血管断离术。结果13例手术全部成功,无中转开腹者。手术时间140～250min,平均205min。术中出血约200～980ml,平均出血480ml,术中输血200～800ml,术后切口愈合良好,无严重术后并发症。13例患者均痊愈出院。结论对门脉高压症患者,手助腹腔镜脾切除贲门周围血管断离术联合术前内镜套扎术具有微创的优点,安全、有效。Objective To study on the effectiveness and reliability of hand-assisted laparoscopic splenectomy （HALS） plus pericardial devascularization combined with endoscopic varicose vien ligation （EVL） in portal hypertesion. Methods Retrospectively 13 cases of HALS combined with EVL were reviewed from January 2001 to December 2005. These patients wwere adapted to perform endoscopic varicose vien ligation before operation, then 1-2 weeks after hand-assisted laparoscopic splenectomy plus pericardial devascularization was conducted. Result All operations were completed successfully. The mean operative time was 205（140-250） minutes, mean estimated blood loss480（200-980）ml, No sever surgical complication occurred. All patients recovered rapidly. Conclusions HALS plus pericardial devascularization combined with EVL is not only minimal invasive, but also a feasible and effective measure for portal hypertension.

关 键 词：门脉高压症 手助腹腔镜脾切除 贲门周围血管断离术 内镜套扎术 

分 类 号：R657.3[医药卫生—外科学]