全腹腔镜脾切除联合贲门周围血管离断术  

Laparoscopic Splenectomy Combined with Pericardial Devascularization In 10 Cases

作　　者：王卫东[1] 陈小伍[1] 冯家立[1] 冯剑平[1] 刘清波[1] 

机构地区：[1]广东省佛山市顺德区第一人民医院外二科,广东佛山528300

出　　处：《中华腔镜外科杂志（电子版）》2008年第2期110-112,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨全腹腔镜脾切除联合贲门周围血管离断术的技巧和方法。方法2007年5月至2008年6月,采用全腹腔镜二级脾蒂血管离断法切除巨脾联合贲门周围血管离断术治疗10例肝硬化门脉高压脾亢并上消化道出血的患者。结果手术均在全腔镜下完成,无中转开腹。手术时间210～350 min,平均270 min;术中失血200～800 ml(平均450 m1);无手术并发症,无死亡病例;术后住院7～15d(平均9.5d)。患者术后随访无再出血。结论全腹腔镜下脾切除联合贲门周围血管离断术治疗门静脉高压症安全、微创、可行的方法。Objective To investigate the technique manipulation of Laparoscopic splenectomy combined with pericardial devascularization.Methods From May 2007 to June 2008,10 patients with cirrhotic portal hypertension-induced and upper gastrointestinal bleeding were treated with LS combined with pericardial devascularization.Results The LS combined with pericardial devascularization was successfully performed on all 10 patients.The mean operation time was 270 min（range,210～350 min）. The mean intraoperative blood loss was 450 ml（range,200～800 ml）.No operative complications were observed.No mortality occurred.The mean postoperative hospital stay was 9.5 days（range 7to 15 days）. Follow up observations revealed no recurrent variceal hemorrhage.Conclusions LS combined with pericardial devascularization is a safe,minimally invasive and feasible modality for the treatment of cirrhotic portal hypertension.

关 键 词：腹腔镜脾切除术 门奇断流术 门脉高压症 

分 类 号：R657.34[医药卫生—外科学]