腹腔镜与开腹脾切除术治疗原发性脾肿瘤的临床效果比较  

Comparison of clinical effects between laparoscopic splenectomy and open splenectomy in the treatment of primary splenic tumors

作　　者：胡春东 郑立平[1] 王兢[1] 吴斌[1] 费发明 吴绍汉[1] 沈亦钰[1] HU Chun-dong;ZHENG Li-ping;WANG Jing(Department of Hepatobiliary Surgery,the Second Affiliated Hospital of Jiaxing University,Jiaxing 314000,China)

机构地区：[1]嘉兴学院附属第二医院肝胆外科,浙江嘉兴314000

出　　处：《腹腔镜外科杂志》2021年第9期658-661,共4页Journal of Laparoscopic Surgery

摘　　要：目的:比较腹腔镜与开腹脾切除术治疗原发性脾肿瘤的临床疗效。方法:回顾分析2011年1月至2019年12月收治的52例原发性脾肿瘤患者的临床资料,其中32例行腹腔镜脾切除术(腹腔镜组),20例行开腹脾切除术(开腹组)。对比两组手术相关指标、术后并发症、手术远期效果。结果:腹腔镜组与开腹组手术时间[(167.5±37.4)min vs.(123.3±34.2)min]、术后住院时间[(5.6±2.1)d vs.(8.6±2.7)d]、疼痛评分[(2.3±1.2)分vs.(5.4±2.1)分]差异均有统计学意义(P<0.05);术中出血量、术后进食时间、术后并发症发生率、手术远期效果差异无统计学意义。结论:相较开腹脾切除术,腹腔镜脾切除术治疗原发性脾肿瘤具有创伤小、疼痛轻、康复快等优点,是安全、可行的。Objective:To compare the clinical efficacy of laparoscopic splenectomy and open splenectomy for primary splenic tumor.Methods:Clinical data of 52 patients with primary splenic tumor from Jan.2011 to Dec.2019 were retrospectively analyzed.32 patients underwent laparoscopic splenectomy(laparoscopic group),and 20 patients underwent open splenectomy(open group).Operation related indexes,postoperative complications and long-term surgical results were compared between the two groups.Results:There were statistically significant differences between the laparoscopic group and open group in the operation time[(167.5±37.4)min vs.(123.3±34.2)min],postoperative hospital stay[(5.6±2.1)d vs.(8.6±2.7)d]and pain score[(2.3±1.2)vs.(5.4±2.1)].There was no significant difference in the intraoperative blood loss,postoperative feeding time,postoperative complications and long-term surgical effect.Conclusions:Compared with open splenectomy,laparoscopic splenectomy is a safe and feasible operation for the treatment of primary splenic tumor,it has the advantages of fewer trauma,less pain and faster recovery.

关 键 词：脾肿瘤 脾切除术 腹腔镜检查 剖腹术 疗效比较研究 

分 类 号：R733.2[医药卫生—肿瘤]