【摘要】 目的:探讨腹腔镜巨脾切除术的手术方法、安全性及有效性。方法:回顾分析1996年4月至2009年3月我院为72例巨脾患者行腹腔镜脾切除术的临床资料,其中38例同时行门奇静脉断流术。结果:本组70例手术均获成功,手术时间1.8～5.5h,出血60～400ml,2例中转开腹(2.7%)。2例术后腹腔出血,其中1例再次行腹腔镜探查创面止血,1例做小切口开腹止血;3例发生膈肌破裂,1例结肠脾曲破裂,4例术后发热(>38℃),1例切口血肿。术后1～5d肛门恢复排气,术后住院7～15d,平均10.5d。结论:腹腔镜巨脾切除术安全、有效,适用于脾功能亢进和巨脾患者。更多还原

【Abstract】 Objective:To explore the methods,safety and efficacy of laparoscopic splenectomy (LS) for megalosplenia.Methods:Seventy-two patients with megalosplenia underwent LS from Apr.1996 to Mar.2009,among them 38 patients underwent portal azygous disconnection in the same time.Results:LS was completed successfully in 70 cases.The operative time was 1.8-5.5h,blood loss was 60-400ml.Two cases converted to open surgery (2.7%).After operation,two cases had abdominal hemorrhage,one of them needed laparoscopy to stop bleeding,and the other needed open surgery to stop bleeding through small incisions.Rupture of diaphragm happened in 3 cases.Rupture of splenic flexure of colon took place in 1 case.Four cases had a fever(T>38℃).One case had a blood tumor in incision.The venting time was 1-5d after operation.The postoperative hospitalization was 7-15d,the average time was 10.5d.Conclusions:LS is safe,effective and suitable for patients with hypersplenism and megalosplenia.更多还原