腹腔镜脾切除术13例临床疗效观察  

Clinical efficacy of laparoscopic splenectomy: a report of 13 cases

作　　者：张瑞[1] 武书胜[1] 徐钧[1] 陈智[1] 李宏伟[1] 

机构地区：[1]山西省人民医院普外科一病区,太原030012

出　　处：《中华腔镜外科杂志（电子版）》2012年第6期36-37,共2页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的评价腹腔镜脾切除术的临床疗效。方法 2009年3月至2012年2月实施腹腔镜脾切除术13例,超声刀游离脾周韧带,血管夹先处理脾血管,血管切割缝合器离断脾蒂,脾脏装入标本袋剪碎取出。观察手术时间、术中出血量、禁食时间、术后住院时间及手术并发症发生情况。结果 12例完成腹腔镜手术,1例因脾蒂出血中转开腹。手术时间80~168min,平均114.45min,术中出血45～780ml,平均322.56ml。术后平均禁食2d,平均住院时间4d。患者术后恢复良好,无手术相关并发症发生。结论腹腔镜脾切除术后恢复快,安全可行。Objective To evaluate the clinical efficacy of laparoscopic splenectomy. Methods Laparoscopic splenectomy was performed in 13 cases from March 2009 to February 2012 . The splenic ligaments were disconnected using a harmonic scalpel, vascular clamp to deal with the spleen blood vessels, and the pedicle of spleen were cut using the Endo-GIA system. After the spleen was mobilized, it was placed into a specimen bag, broken into small pieces, and removed from the extraction incision. The operation time, blood loss, fasting time, hospital stay, and surgical complication rates were observed in treated patients. Results The operation was successfully completed in 12 cases. Conversions to open surgery were needed in 1 case because of hemorrhage of the splenic pedicle. The operation time was 80-168 min （ mean 114.45 min ）. The blood loss was 45-780 ml （ mean 322.56 ml ）. The average fasting time was 2 days, and hospital stay was 4 days. No complication occurred in treated paitents. Conclusions Laparoscopic splenectomy is safe and feasible.

关 键 词：腹腔镜 脾切除 

分 类 号：R657.6[医药卫生—外科学]