悬吊技术在儿童腹腔镜脾部分切除术中的应用  

Application of suspension technique in the treatment of laparoscopic partial splenectomy in children

作　　者：闫学强[1] 朱真闯[1] 匡后芳[1] 段栩飞[1] 纪思淇 秦鑫锞[1] 梁翀[1] Yan Xueqiang;Zhu Zhenchuang;Kuang Houfang;Duan Xufei;Ji Siqi;Qin Xinke;Liang Chong(Department of General Surgery,Wuhan Children's Hospital,Tongji Medical College of Huazhong University of Science&Technology,Wuhan 430016,China)

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院普外科,武汉430016

出　　处：《中华小儿外科杂志》2025年第3期232-236,共5页Chinese Journal of Pediatric Surgery

基　　金：武汉儿童医院肝胆胰疾病研究室基金(2022FEYJS004)。

摘　　要：目的探讨悬吊技术应用于儿童腹腔镜脾部分切除术中的可行性、安全性及应用价值。方法收集武汉儿童医院普外科2021年1月至2023年12月采用悬吊技术行腹腔镜脾部分切除术6例患儿的临床资料,其中男3例,女3例,年龄范围在4.0~10.6岁。患儿均采用悬吊技术行腹腔镜下脾部分切除术。对患儿手术时间、术中出血量、术后住院时间、并发症等资料及随访情况进行分析总结。结果6例患儿中,脾囊肿3例,脾血管瘤2例,脾淋巴管瘤1例;肿瘤位于脾上极2例,脾下极4例。手术过程顺利,无中转开腹,术中输浓缩红细胞2例,手术时间为150~240 min,术中失血量为10~400 ml。术后7~14 d痊愈出院,无术后出血、腹腔感染、伤口感染等并发症,随访6~12个月,无残脾坏死、肿瘤复发等。结论悬吊技术应用于儿童腹腔镜脾部分切除术安全可行,可减少术中出血,改善术野的显露。Objective To investigate the feasibility,safety,and application value of the suspension technique in treating pediatric laparoscopic partial splenectomy.Methods The clinical data of six children who underwent laparoscopic partial splenectomy with suspension technique from January 2021 to December 2023 in the Department of General Surgery of Wuhan Children's Hospital were collected,including three males and three females,aged 4.0-10.6 years old.All patients underwent laparoscopic partial splenectomy with suspension technique.The operation time,intraoperative blood loss,postoperative hospital stay,complications and follow-up were analyzed and summarized.Results Among the six patients,there were three cases of splenic cyst,two cases of splenic hemangioma,and one case of splenic lymphangioma.Tumors located in the upper pole of the spleen were found in two cases and those in the lower pole of the spleen were detected in four cases.The operation was successfully completed without conversion to open surgery.Two cases were transfused with concentrated red blood cells.The operation time ranged from 150-240 minutes.The intraoperative blood loss was 10-400ml.The postoperative hospital stay ranged from 7-14 days,without postoperative bleeding,abdominal infection,wound infection and other complications.The patients were followed up for 6-12 months,and there was no residual spleen necrosis or tumor recurrence.Conclusions The application of suspension technique to pediatric laparoscopic partial splenectomy is safe and feasible,which can reduce intraoperative bleeding and improve the exposure of the surgical field.

关 键 词：腹腔镜外科手术 脾切除术 部分切除 儿童 

分 类 号：R726.5[医药卫生—儿科]