腹腔镜脾切除联合胆囊切除术治疗先天性溶血性贫血及胆囊结石  

The combination of laparoscopic splenectomy and cholecystectomy in treatment of congenital hemolytic anemia and cholecystolithiasis

作　　者：李建国[1] 许晨晖[1] 林志川[1] 郭钟容[1] 卢燕辉[1] 江小杰[1] 

机构地区：[1]福建医科大学附属漳州市医院,福建漳州363000

出　　处：《腹腔镜外科杂志》2010年第5期357-359,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜脾切除联合胆囊切除术治疗先天性溶血性贫血的疗效。方法:回顾分析2005年10月至2009年2月行腹腔镜脾切除联合胆囊切除术治疗6例先天性溶血性贫血并胆囊结石患者的临床资料。结果:6例手术均获成功,无中转开腹,术后未发生出血、感染、血栓及胰瘘等并发症;手术时间2.5～4h,平均2.8h;术中出血100～500ml,平均(176.7±158.8)ml;术后住院(8.5±1.8)d。结论:腹腔镜脾切除联合胆囊切除术治疗溶血性贫血及胆囊结石安全、可靠,具有微创优势。Objective ： To explore the therapeutic effect of laparoscopic splenectomy combined with cholecystectomy in treatment of congenital hemolytic anemia and cholecystolithiasis. Methods ： The clinical data of 6 patients with congenital hemolytic anemia and cholecystolithiasis who underwent laparoscopic splenectomy combined with cholecystectomy from Oct. 2005 to Feb. 2009 were retrospectively analyzed. Results：The procedure was successful in each of 6 cases. None was converted to laparotomy. No postoperative complications, such as hemorrhage, infection, thromboembofism and pancreatic fistula occurred. The operative time was 2.5-4h （ mean, 2.8h）, the blood loss was 100-500ml, mean （176.7± 158.8 ）ml, and the postoperative hospital stay was （8.5±＋ 1.8 ）d. Conclusions：The combination of laparoscopic splenectomy and cholecystectomy is a safe, reliable and minimally invasive technique for the patients with congenital hemolytic anemia and cholecystolithiasis.

关 键 词：贫血 溶血性 先天性 胆囊结石病 脾切除术 胆囊切除术 腹腔镜 

分 类 号：R657.4[医药卫生—外科学] R657.6[医药卫生—临床医学]