手助腹腔镜改良Sugiura术在特发性门静脉高压症的临床应用  

Clinical Value of Hand-assisted Laparoscopic Modified Sugiura Procedure in Idiopathic Portal Hypertension

作　　者：刘佳[1] 张绍庚[2] 魏炜明[1] 唐荣[1] 乐羿[3] 陈小刚[1] 

机构地区：[1]福建医科大学福总临床医学院肝胆外科,福州350025 [2]中国人民解放军第302医院肝胆外科一中心,北京100039 [3]安徽医科大学福总临床医学院肝胆外科,福州350025

出　　处：《医学研究杂志》2012年第9期139-142,共4页Journal of Medical Research

摘　　要：目的探讨手助腹腔镜改良Sugiura术在特发性门静脉高压症中的临床应用价值。方法 2007年5月～2011年9月对福州总医院及中国人民解放军第302医院肝胆外科6例伴食管胃底静脉重度曲张、脾明显肿大及脾功能亢进的特发性门静脉高压症(idiopathic portal hypertension,IPH)患者行手助腹腔镜行改良Sugiura术治疗。结果 6例手助腹腔镜改良Sugiura手术均获得成功,平均手术时间为193.2 min,平均出血量236.8ml,未发生严重并发症,术后平均住院日为9.7天。术后随访时间2～54个月,平均随访15.8个月,均无再出血及肝性脑病发生。结论手助腹腔镜改良Sugiura术治疗伴食管胃底静脉重度曲张、脾明显肿大及脾功能亢进的IPH安全有效,具有一定的临床应用价值。Objective To investigate the clinical value of hand - assisted laparoscopic modified Sugiura procedure for idiopathic por- tal hypertension. Methods From May 2007 to September 2011 ,six IPH patients with severe esophageal and gastric variees, splenomegaly and hypersplenism in the department of hepatobiliary surgery,Fuzhou general hospital of PLA and 302 hospital of PLA underwent hand - assisted laparoseopic modified Sugiura procedure. Results The operation was successful in all 6 patients. Mean surgical time was 193.2 minutes. Mean blood loss was 236.8ml. There was no serious postoperative complications. The mean postoperative hospital stay was 9.7 days. Patients were followed up for 2 months to 54 months, an average of 15.8 months. No rebleeding and hepatic encephalopathy occurred. Conclusion Hand- assisted laparoscopic modified Sugiura procedure is effective to cure the IPH patients with severe esophageal and gastric varices,splenomegaly and hypersplenism. Hand- assisted laparoscopic modified Sugiura procedure is a rational and practical pro- cedure for clinical application.

关 键 词：特发性门静脉高压症 腹腔镜检查 改良SUGIURA术 食管胃底静脉曲张 

分 类 号：R657.34[医药卫生—外科学]