腹腔镜巨脾切除贲门周围血管离断术治疗门脉高压症  

Laparoscopic splenectomy for megalosplenia plus pericardial devascularization in the treatment of portal hypertension

作　　者：罗建强[1] 梁中骁[1] 黄顺荣[1] 

机构地区：[1]广西壮族自治区人民医院,广西南宁530021

出　　处：《腹腔镜外科杂志》2009年第12期911-912,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜巨脾切除术的可行性和安全性。方法:2003年10月至2008年12月我院为11例脾长径大于25cm的肝硬化门脉高压、脾功能亢进、食道胃底静脉曲张患者施行腹腔镜巨脾切除加贲门周围血管离断术。结果:11例均顺利完成腹腔镜手术,无中转开腹,手术时间平均250min,平均出血430ml。结论:只要具备相应的手术设备,熟练掌握手术技巧,腹腔镜巨脾切除加贲门周围血管离断术安全可行。Objective：To evaluate safety and feasibility of laparoscopic splenectomy（LS） for megalosplenia.Methods：Eleven patients with huge spleen（length25cm）,portal hypertension,hypersplenia,esophageal and gastric fundus varices underwent LS and pericardial devascularization from Oct.2003 to Dec.2008.Results：LS combined with pericardial devascularization was successfully performed on all these cases,without conversion to open surgery.The mean operative time was 250min,and mean blood loss was 430ml.Conclusions：On the premise of well equipped operative device and skilled operative technique,LS for megalosplenia combined with pericardial devascularization is relatively safe and feasible.

关 键 词：脾切除术 腹腔镜检查 血管外科手术 高血压 门静脉 

分 类 号：R657.34[医药卫生—外科学]