【作者】 李剑锋；

【导师】 蔡秀军；

【作者基本信息】 浙江大学 ， 外科学， 2006， 硕士

【摘要】 目的:探讨二级脾蒂离断法在腹腔镜脾脏切除术中的可行性及其与传统腹腔镜脾脏切除术(Endo-GIA法)相对比的优越性。 方法:回顾性分析了1999年6月至2005年6月间施行的24例腹腔镜脾切除术,其中12例采用二级脾蒂离断法,10例采用腔内直线型切割吻合器离断脾蒂,2例术中转开腹。 结果:两种手术方式的年龄构成、手术时间、术中出血量、术后留置腹腔引流管和术后住院时间均无显著差异,而采用二级脾蒂离断法的手术费用为8815±871元,与采用腔内直线型切割吻合器离断脾蒂的费用(为12282±1140元)相比明显较少(t=8.088,P<0.01)。 结论:腹腔镜下二级脾蒂离断法脾切除术安全、可靠,手术费用低,值得推广。更多还原

【Abstract】 Objective To discuss the feasibility of secondary pedicle division strategy applied at laparoscopic splenectomy. And the advantage compare with LS performed through Endo-GIA pedicle division.Methods From June 1999 to June 2005, we performed 24 laparoscopic splenectomy continuously. Data was reviewed retrospectively. In the 24 cases, 12 cases were performed LS through secondary pedicle division strategy and 10 cases were through Endo-GIA pedicle division, 2 cases were turn to open.Results There were no significant different between two strategies in patients age, operative time, blood loss, time of drainage and postoperative hospital stay. The operative cost of secondary pedicle division strategy(8815±871 yuan) was much lesser than Endo-GIA pedicle division strategy(12282±1140 yuan)( t=8.088, P<0.01).Conclusions Laparoscopic splenectomy through secondary pedicle division strategy was safe, effective and economical. It was suitable to performed widely in our country.更多还原