腹腔镜巨脾切除术:逐步打破的手术壁垒  

Laparoscopic megasplenectomy:gradually overcoming surgical barriers

作　　者：卓文锋 曾桂芳 杨思加 赵家立 邹宝嘉 白子锐 林恩 李坚[1] Zhuo Wenfeng;Zeng Guifang;Yang Sijia;Zhao Jiali;Zou Baojia;Bai Zirui;Lin En;Li Jian(Department of Hepatobiliary Surgery,the Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai 519000,China;Department of Hepatobiliary Surgery,Sun Yat-sen Memorial Hospital of Sun Yat-sen University,Guangzhou 510120,China)

机构地区：[1]中山大学附属第五医院肝胆外科,珠海519000 [2]中山大学孙逸仙纪念医院肝胆外科,广州510120

出　　处：《中华肝脏外科手术学电子杂志》2024年第6期783-788,共6页Chinese Journal of Hepatic Surgery(Electronic Edition)

摘　　要：腹腔镜巨脾切除术(LSMS)曾一度被列为微创手术禁忌。然而,近年来随着微创理念和技术设备的不断发展,LSMS逐渐开展,并呈现出技术扁平化的时代特点,得到越来越广泛的应用,渐有成为首选术式的趋势。现笔者结合相应文献资料及个人体会,就LSMS的发展及手术特点作一总结,并对其技术难点与对策及未来进展进行探讨和展望。Laparoscopic megasplenectomy(LSMS)has been previously considered as a contraindication for minimally invasive surgery.However,with persistent development of minimally invasive concept and technical equipment,LSMS has been gradually carried out in recent years,showcasing the characteristics of the era of flattening technology,which has been widely applied and has gradually become the optimal surgery.Based on relevant literature review and clinical experience,the development and surgical characteristics of LSMS were summarized,and the technical difficulties,countermeasures and future progress were also discussed and predicted in this article.

关 键 词：脾脏 脾大 巨脾 腹腔镜巨脾切除术 微创 

分 类 号：R657.6[医药卫生—外科学]