完全腹腔镜下和开腹脾切除、贲门周围血管离断术的临床疗效对比研究  

Comparative study on the clinical effects of total laparoscopic splenectomy plus pericardial devascularization and open surgery on portal hypertension

作　　者：张林菲[1] 蔡庆和[1] 程彩涛[1] 曾天才[1] 涂华[1] 

机构地区：[1]湖北医药学院附属人民医院肝胆外科,十堰442000

出　　处：《临床外科杂志》2014年第6期428-430,共3页Journal of Clinical Surgery

摘　　要：目的探讨完全腹腔镜下脾切除、贲门周围血管离断术治疗门静脉高压症的安全性与可行性。方法对30例完全腹腔镜下脾切除、贲门周围血管离断术与30例开腹脾切除、贲门周围血管离断术的临床资料进行对比研究。结果完全腹腔镜下脾切除、贲门周围血管离断术在住院时间、住院费用、手术出血量、肠道功能恢复时间、术后并发症等方面优于开腹脾切除、贲门周围血管离断术。结论完全腹腔镜下脾切除、贲门周围血管离断术是安全可行的。Objective To explore the safety and feasibility of total laparoscopic splenectomy plus pericardial devascularization for portal hypertension. Methods The clinical data of 30 cases of total laparoscopic splenectomy plus pericardial devascularization and 30 cases of open surgery were compared. Resuits Total laparoscopic splenectomy plus pericardia1 devascularization is better than open surgery in hospital stay,hospitalization cost, operation time, intraoperative bleeding, postoperative intestinal function recovery and postoperative complications. Conclusion Total laparoscopic splenectomy plus pericardial devascularization is safe and feasible.

关 键 词：完全腹腔镜下脾切除 贲门周围血管离断术 门静脉高压症 

分 类 号：R657.34[医药卫生—外科学]