微创外科技术下的脾脏部分切除术在脾脏良性病变患者中的应用  

Partial splenectomy with minimally invasive surgery in treating splenic benign lesions

作　　者：姜楠[1] 段伟东[1] 谭向龙[1] 罗英[1] Jiang Nan;Duan Weidong;Tan Xianglong;Luo Ying(Faculty of Hepato-Pancreato-Biliary Surgery,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心肝胆胰外科医学部,北京100853

出　　处：《中华肝胆外科杂志》2024年第8期602-605,共4页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的探讨应用微创外科技术行脾脏部分切除术治疗脾脏良性病患者的疗效。方法回顾性分析2021年1月至2023年1月在解放军总医院第一医学中心肝胆胰外科医学部行腹腔镜或机器人辅助下脾脏部分切除手术的19例脾脏良性病变患者的临床资料,其中男性11例,女性8例,年龄(29.2±10.1)岁。收集患者的性别、年龄、手术方式、术中出血量、手术时间、术后住院时间、术后并发症等临床资料。结果19例患者均成功完成了脾脏部分切除手术,其中13例患者行腹腔镜下脾脏部分切除手术,6例患者行机器人辅助下脾脏部分切除手术。行非规则性切除10例,行规则性切除9例。无中转开腹手术。手术时间178(130,200)min,术中出血量200(50,300)ml。术后住院时间6(4,7)d,腹腔引流管留置时间3(2,5)d。术后发生并发症患者4例,并发症发生率为21.1%(4/19),其中左侧胸腔积液3例,残余脾脏部分梗死1例。结论微创外科技术行脾脏部分切除术治疗脾脏良性病患者安全可行。ObjectiveTo explore the effect of partial splenectomy with minimally invasive surgical technique in treating splenic benign lesions.MethodsThe clinical data of 19 patients,who underwent partial splenectomy with laparoscopic and robotic surgery for benign lesions of spleen,in Faculty of Hepato-Pancreato-Biliary Surgery,Chinese PLA General Hospital from January 2021 to January 2023 were retrospectively analyzed.There were 11 males and 8 females,with the age of(29.2±10.1)years old.Clinical data,such as gender,age,operating procedure,intraoperative blood loss,operation time,postoperative hospital stay and postoperative complications,were collected.ResultsNineteen patients successfully underwent partial splenectomy with minimally invasive surgery,including laparoscopic partial splenectomy(13 cases)and robotic partial splenectomy(6 cases).Irregular partial splenectomy was performed in 10 patients,and regular partial splenectomy in 9 patients.There was no conversion to open surgery.Operation time,intraoperative blood loss,postoperative hospital stay and time of postoperative drainage tube indwelling were 178(130,200)min,200(50,300)ml,6(4,7)d and 3(2,5)d.Postoperative complications developed in 4 cases(21.1%,4/19),including left pleural effusion(3 cases)and spleen remnant infarction(1 case).ConclusionPartial splenectomy by minimally invasive surgery in treating splenic benign lesions is safe and feasible.

关 键 词：脾切除术 微创外科 良性疾病 治疗 

分 类 号：R657.6[医药卫生—外科学]