腹腔镜下门奇静脉断流术  

Laparoscopic Portaazygous Disconnection for bleeding varices

作　　者：王跃东[1] 

机构地区：[1]浙江省人民医院微创外科,浙江杭州310014

出　　处：《健康研究》2011年第4期241-243,共3页Health Research

摘　　要：上消化道出血是门静脉高压症最严重的并发症和死亡原因之一。理想的外科处理门静脉高压症和上消化道出血的方法应该能够有效控制出血,同时其手术过程对患者肝功能影响少,手术并发症、死亡率和术后肝性脑病等发生率要低。近期由于腹腔镜手术技术提高,使应用腹腔镜微创技术处理门静脉高压症成为可能。文章介绍笔者为门静脉高压症患者行腹腔镜断流术的经验,主要包括手术适应症、术前准备、手术技巧、术后处理和并发症防治等。Esophageal varices-caused bleeding is an important factor of morbidity and mortality in portal hypertension patients. The aim of surgical operation is to stop bleeding, maintain good liver function and decrease the incidence of encephalopathy. Recently, laparoscopic technology has been applied on the treatment of bleeding varices because of its functions perfectly fit this aim. This paper reviewed the new progress of this focusing on indications, preoperative considerations, operative technique, postoperative care and complication management.

关 键 词：门静脉高压症 曲张静脉出血 断流术 脾切除 腹腔镜 

分 类 号：R657.3[医药卫生—外科学]