多种腹腔镜脾切除术七例报道  

Design and performance of varied laparoscopic splenectomies

作　　者：许红兵[1] 

机构地区：[1]解放军总医院第二附属医院肝胆外科,北京100091

出　　处：《腹部外科》2007年第5期291-292,共2页Journal of Abdominal Surgery

摘　　要：目的探讨多种腹腔镜脾切除术(LS)术式的设计、实施及其适应证。方法对7例不同疾病的病例设计并实施了LS、手助腹腔镜脾切除加门奇静脉断流术(HLSPD)、非气腹装置辅助的LS(GDLS)、手助LS(HLS)与改良HLS(MHLS)。结果手术时间为60～240min,术中出血量约为50～1500ml。病人术后均恢复顺利。结论LS适合于无肿大的脾脏切除;HLSPD适合于门静脉高压症合并巨脾者,特别是尚伴有卵巢囊肿、胆囊结石等其它病变需同时处理者;GDLS、HLS与MHLS适合于脾脏中度增大者。其中,GDLS和MHLS尤其适合于经济条件有限的病人。To study the design, performance and indication of varied laparoscopic splenectomies（LS）. Methods In 7 patents with different diseases,LS,hand-assisted laparoscopic megalosplenic resection and portozygos disconnection（ HLSPD）, gasless device assisted laparoscopic splenectomy（C-DLS）, hand-assisted laparoscopic splenectomy（HLS） and modified hand-assisted laparoscopic splenectomy（MHLS）were designed and performed. Results The operative time was 60～241） min, blood loss during operation was 50～1 51）l） ml, and the postoperative patients recovered smoothly. Conclusion LS is suitable for the resection of non-swelled spleen, and HLSPD for portal hypertension with splenomegaly, especially with other resectable lesions, such as ovarian cyst, gallbladder stone etc. GDLS, HLS and MHLS are suitable for middle-swelled spleen, and GDLS and MHLS especially for the patients in financial straits.

关 键 词：外科学 腹腔镜 脾切除术 研究设计 

分 类 号：R657.6[医药卫生—外科学]