摘要
目的探讨单孔腹腔镜脾切除联合保胆取石术治疗遗传性球形红细胞增多症(HS)的可行性及临床效果。方法回顾性分析3例单孔腹腔镜脾切除联合保胆取石术的临床资料。结果3例患者均顺利完成手术,术后胆红素水平下降明显,溶血症状显著改善。长期随访发现3例患者胆囊结石均未复发,但其中2例患者胆红素水平出现波动。结论单孔腹腔镜脾切除联合保胆取石术治疗HS是可行有效的,但长期疗效有待进一步研究。
Objective To explore the feasibility and clinical effective ness of synchronous single-incision laparoscopic splenectomy with cholelithotomy in the treatment of hereditaryspherocytosis.Methods The clinical data of 3 cases ofsynchronous single-incision laparoscopic splenectomy with cholelithotomy were analyzed retrospectively.Results The operations went smoothly in 3 cases.The bilirubin level decreased obviously and haemolysis was reduced significantly.Long term follow-up showed that there was no recurrence of cholecystolithiasis in 3 patients,but bilirubin level fluctuated in 2 patients.Conclusions Synchronous single-incision laparoscopic splenectomy withcholelithotomy is aneffective means of treatinghereditarysp herocytosis,but the long-term efficacy remains further study.
作者
王国斌
方翊天
黄帆
余孝俊
吴若林
侯刘进
叶征辉
张兴华
赵红川
WANG Guo-bin;FANG Yi-tian;HUANG Fan(The First Hospital of Anhui Medical University,Hefei 230022,China)
出处
《肝胆外科杂志》
2021年第1期32-34,共3页
Journal of Hepatobiliary Surgery
关键词
单孔腹腔镜
脾切除术
胆道镜
保胆取石术
synchronous single-incision laparoscopic
splenectomy
choledochoscope
cholelithotomy
