胸腔镜联合非气腹腹腔镜辅助行门脉高压断流术12例  

Ligation of pericardial vein under vidio-assisted thoracoscopy (VATS) combined with gasless laparoscopic-assisted splenectomy and lower part of lung covered by omentum majus for the treatment of portal hypertention (a report of 12 cases)

作　　者：张青平[1] 韩军[1] 何鹏飞[1] 刘同发[1] 林武华[1] 

机构地区：[1]武警四川总队医院外一科,乐山614000

出　　处：《中国微创外科杂志》2002年第1期14-15,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探索胸腹腔镜技术在门脉高压症的应用。　方法　利用胸腹腔镜实施贲门周围血管离断、脾切除、大网膜包肺手术 12例。　结果　本组病例手术均获成功。手术时间 (2 .5～ 5 .2 )小时 ,平均 3.3小时。 (48～ 72 )小时恢复胃肠功能 ,拔胸管 ,下床活动。住院 (9～ 11)天 ,平均 10 .3天。无胸腹腔并发症。随访 2月～ 4年 ,无消化道出血。　结论　胸腔镜下食管下段贲门周围血管离断非气腹腹腔镜下脾切除大网膜包肺手术治疗门脉高压症可行。Objective To study the application of VATS and gasless laparoscopy to the treatment of portal hepertension Methods 12 operations of the splenectomy combined with ligation of pericardial vein and lower part of lung covered by omentum majus were performed throngh the thoracoscopy and laparascopy Results All of the 12 operations were successful. The procedures lasted (2.5～5.2) hours with mean time being 3.3 hours. Gastrointestinal function recovered in (48-72) hours after operation. The duration of hospitalization was (9～11)days. No postoperative thoracic and abdominal cavity complications were found. The average duration of hospitalization after operation was 10.3 days.12 cases were followed up for 2 month to 4 years and no rebleeding was found. Conclusions The procedures including ligation of pericardial vein under VATS combined with gasless laparoscopy assisted splenectomy and lower part of lung covered by omentum majus for the treatment of portal hypertension is passable.

关 键 词：胸腔镜 非气腹腹腔镜 门脉高压症 脾切除 大网膜包肺术 门脉高压断流术 

分 类 号：R657.340.5[医药卫生—外科学]