摘要
目的探讨腹腔镜脾切除术（LS）安全性及临床效果。方法对2002年至2008年我院实施24例腹腔镜脾切除术患者的临床资料进行回顾性分析。包括6例肝硬化脾功能亢进，10例原发性血小板减少性紫癜（ITP），2例溶血性贫血（Evens综合征），2例脾破裂，4例脾良性占位。结果24例均完成完全腹腔镜下脾切除手术（TLS），无中转开腹。24例腹腔镜手术平均手术时间146min，术中平均失血220ml，术后平均禁食1d，术后平均住院9d。术后均无并发症发生。结论掌握好脾切除术的手术指征及腹腔镜下的操作技巧，腹腔镜脾切除术是安全的，并且能达到创伤小、恢复快、并发症少的微创目的。
Objective To explore the safety and clinical effects of laparoscpic splenectomy. Methods Clinical data of 24 cases of laparoscopic splenectomy in our hospital from 2002 to 2008 were retrospectively analyzed. Among these 24 cases,there were 6 cases with liver cirrhosis,10 cases with ITP, 2 cases with hemolytic anemia（ Evens syndrom） ,2 cases with spelenic rupture, and 4 cases optimum spleen ambuty. Results All the 24 cases were successfully underwent laparoscopic splenectomy. The mean operation time was 146 minute, the mean volume of blood loss was 220 ml, the postoperative gastrointestinal peristalsis time was from 24 to 48 hours. The mean hospitalization time was 9 days after operation. Conclusions Provided mastering operation indication and technique, Laparoscopic splenectomy is a safe and minimally invasive surgery.
出处
《中国综合临床》
2010年第1期61-63,共3页
Clinical Medicine of China
关键词
脾切除术
腹腔镜
Spleneetomy
Laparoscopy
