腹腔镜脾切除术56例临床分析  

The clinical analysis of 56 cases with laparoscopic splenectomy

作　　者：王雪清[1] 徐越[1] 张波[1] 张彬[1] 

机构地区：[1]成都市第五人民医院普外科,四川成都611130

出　　处：《四川医学》2012年第8期1328-1330,共3页Sichuan Medical Journal

基　　金：四川省卫生厅科研项目(编号:110047)

摘　　要：目的探讨腹腔镜脾切除术的手术方法及技巧,评价手术疗效。方法对我院56例腹腔镜脾切除术进行回顾性分析。结果 2例患者中转开腹,其余44例手术均获成功。合并胆囊结石者,予以联合胆囊切除。手术平均时间130min。术中平均失血量250ml。术后平均住院7d。ITP患者术后复查血小板在短时间内均升至100×109/L以上。术后1例发生脾窝积血,次日再次行腹腔镜探查术清除血凝块,余患者无严重并发症。结论在正确掌握手术适应证并熟练掌握腹腔镜操作技术的情况下,腹腔镜下脾切除手术是安全、临床效果良好的微创手术方式,值得推广。Objective To investigate the surgical techniques and curative effect of laparoscopic splenectomy. Methods 56 cases of laparoscopic splenectomy were retrospectively analyzed. Results Two cases converted to laparotomy, and the remai- ning 44 cases were operated with laparoscopic splenectomy successful. The cases with gallstones were operated with choleeystecto- my. The mean operation time was 130 min, and the mean intraoperative blood loss was 250ml. The mean postoperative hospital stay was 7d. The platelet of ITP patients rose to more than 100 × 10^9/L in a short time after the operation. Postoperative splenic fossa hemorrhage was happened in 1 case, and who was operated with laparoscopicexploratory to remove blood clots the next day. There were no serious complicationsconclusion in the rest patients. Conclusion With correct surgical indication and skilled opera- tion techniques, laparoscopic splenectomy is kind of safe, effective minimally invasive surgery, and it is worth promoting.

关 键 词：腹腔镜 脾切除术 脾蒂 

分 类 号：R657.6[医药卫生—外科学]