腹腔镜下脾脏切除28例治疗体会  

Treatment Experience of 28 Cases of Laparoscopic Splenectomy

作　　者：殷杰[1] 刘俊[1] 朱日祥[1] 郑宇[1] 

机构地区：[1]南通大学医学院附属海安医院普外科,江苏海安226600

出　　处：《辽宁医学院学报》2014年第5期40-42,共3页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：目的：总结腹腔镜下脾切除手术的手术技巧和临床效果。方法2009年8月至2012年10月，对28例脾脏疾病患者实施腹腔镜下脾切除术（LS）。年龄31-76岁，平均52.47岁。结果腹腔镜下完成脾切除术25例（89.3%），中转3例（10.7%）；其中脾脏外伤12例，门静脉高压脾脏功能亢进7例，原发性血小板减少性紫癜（ITP）6例，脾脏血管瘤2例，脾脏囊肿1例。手术并发症6例（21.4%），包括术中出血3例，术后胰漏2例，术后再出血1例，无死亡，均治愈出院。结论腹腔镜下脾切除手术安全有效，是一种值得推广的微创治疗方法。Objective To summarize the surgical techniques and clinical results of laparoscopic splenectomy. Methods 28 pa-tients with spleen disease received laparoscopic splenectomy （LS） from August 2009 to October 2012, whose age varies from 31 to 76, with the average age of 52. 47. Results Laparoscopic splenectomy was completed for 25 cases （89. 3% ）, conversion for 3 cases （10. 7% ）; traumatic spleen for 12 cases, splenic and portal hypertension hyperthyroidism for 7 cases, idiopathic thrombocytopenic purpura （ITP） for 6 cases, splenic hemangioma for 2 cases, splenic cyst for 1 case. Complications happened in 6 cases （21. 4% ）, including 3 cases with intraoperative bleeding, 2 cases with postoperative pancreatic leakage, 1 case with postoperative bleeding, no death, and all the patients were cured. Conclusion Laparoscopic splenectomy is safe and effective, and it is a kind of minimally in-vasive treatment methods which is worthy of promotion.

关 键 词：腹腔镜 脾脏 脾切除手术 

分 类 号：R657.6[医药卫生—外科学]