脾动脉主干结扎法腹腔镜巨脾切除术  

SPLENIC ARTERY LIGATION IN LAPARTOSCOPIC SPLENECTOMY FOR MASSIVE SPLENOMEGALY

作　　者：何威[1] 王卫东[1] 刘清波[1] 吴志强[1] 冯剑平[1] 陈小伍[1] 

机构地区：[1]佛山市顺德区第一人民医院,佛山528300

出　　处：《肝胆外科杂志》2010年第5期372-374,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨脾动脉主干结扎法在腹腔镜巨脾切除中的应用价值。方法在完全腹腔镜下完成16例巨脾切除术。在切脾前结扎脾动脉。结果 16例手术全部成功,无死亡病例。切脾时间60～210 min,平均160 min。术中出血30～220 ml,平均115 ml(不包括脾血)。7例术后出现少量腹水。术后胃肠蠕动恢复时间12～24 h,术后24 h拔胃管并进食流质饮食,术后住院时间5～9天,平均6.5天。结论脾动脉主干结扎法腹腔镜巨脾切除术在临床上是安全有效的。Objective To explore the value of splenic artery ligation in laparoscopic splenectomy for massive splenomegaly.Methods 16 patients with massive splenomegaly were operated by total laparoscopic splenectomy.To ligate splenic artery before splenectomy.Results 16 patients were completed successfully and no patient died.The mean operative time of splenectomy were 160 minutes,ranging from 60 to 210 minutes,and mean estimated blood loss without spleen blood were 115 milliliters,ranging from 30 to 220 milliliters.7 patients had a little ascites in post-operation.The intestinal function recovery time in post-operation was 12～24 hour.The liquid diet time and the stomach tube pulling out time in post-operation were 24 hours later.The hospital stay in post-operation was 6.5 days,ranging from 5 to 9 days.Conclusion The clinical application of laparoscopic approach to splenectomy for massive splenomegaly is feasible and safe.

关 键 词：脾动脉 结扎 腹腔镜 脾切除术 

分 类 号：R579[医药卫生—消化系统]