【摘要】 目的探讨腹腔镜脾切除术的安全性及临床效果。方法回顾性分析 4 1例腹腔镜脾切除术病例 (包括 10例肝硬化及 17例特发性血小板减少性紫癜 )的临床资料。结果 4 1例有 2例中转开腹 ,39例成功完成腹腔镜切脾。该 39例的平均手术时间为 2 38min、术中失血 318ml、粉碎脾脏重量 389g ,术后胃肠蠕动恢复时间为 12～ 2 4h ,平均住院时间为 4d。发生并发症 3例 ,1例术后腹腔内出血、1例皮下气肿、1例腹壁静脉刺破出血。结论在经过选择的患者腹腔镜脾切除术是安全的 ,尤其适用于血液系统疾病中需行脾切除者及脾脏本身病变者更多还原

【Abstract】 Objective To evaluate the feasibility and efficacy of laparoscopic splenectomy(LS). Methods In this study 41 cases were enrolled including 10 cirrhotic splenomegaly cases and 17 idiopathic thrombocytopenic purpura cases. The clinical data of 41 cases undergoing LS was retrospectively reviewed. KG2Result Two cases were shifted to open surgery, LS was successful in 39 cases with average operating time of 238 min, the average spleen weight was 389 g, blood loss 318 ml, postoperative GI movement started from 12 to 24 hrs. The average postoperative hospital stay was 4 days. Postoperative complications occurred in 3 cases including intraabdominal bleeding, subcutaneous emphysema, and stabbing-caused abdominal wall bleeding in one each. Conclusion LS is safe and less traumatic in selected patients indicated for splenectomy, especially for those suffering from haemotologic diseases.更多还原