【摘要】 目的　探讨手助腹腔镜脾切除术治疗外伤性脾破裂的可行性及临床效果。　方法2 0 0 2年 1月～ 2 0 0 2年 1 0月采用手助腹腔镜脾切除术治疗外伤性脾破裂 1 2例 ,其中 8例合并其他脏器损伤。　结果　 1 2例中 1 0例顺利完成手助腹腔镜脾切除术 ,2例中转开腹手术。 1 0例手助腹腔镜脾切除术平均手术时间 1 0 2 .5min。 4例单纯性脾破裂术后平均住院时间为 5 .8d ,6例伴合并伤平均住院时间为 1 5 .5d。　结论　手助腹腔镜脾切除术治疗外伤性脾破裂切实可行 ,适用于BuntainCT分级Ⅱ、Ⅲ型脾脏损伤且无严重合并伤的患者。更多还原

【Abstract】 Objective To explore the feasibility and clinical efficacy of hand assisted laparoscopic splenectomy (HALS) for ruptured spleen. Methods From January 2002 to October 2002, HALS was performed in 12 cases, among whom were 8 cases combined with other viceral trauma. Results HALS was accomplished successfully in 10 cases and laparotomy in 2. In 10 cases, the operation time of HALS averaged 102.5 minutes. The mean post operative hospitalization was 5.8 days in 4 cases with only spleen trauma and 15.5 days in 6 combined with other viceral trauma. Conclusions HALS is a feasible, effective and safe surgical procedure for the cases with Buntain CT scalingⅡ or Ⅲ spleen trauma with no severe combined trauma.更多还原