【摘要】 目的　探讨腹腔镜脾切除术 (LS)在治疗与脾脏有关疾病中的应用、手术方法及临床效果。　方法　利用腹腔镜技术在CO2 气腹情况下对 43例需行脾切除术的患者进行手术 ,并对手术前后患者一般状况的改善、血小板计数的变化、并发症的出现与否及术后恢复情况等进行总结性分析。结果　 43例患者全部采用LS方法完成手术 ,术后无并发症出现 ;对特发性血小板减少性紫癜 (ITP)患者的有效率为 89 3% ;体外B超脾脏长径 >15cm者手术难度明显增加 ,手术时间延长。　结论　只要掌握好脾切除术的手术指征及腹腔镜下的操作技巧 ,LS是脾脏手术的最佳方法之一更多还原

【Abstract】 Objective To investigate the application and effect of laparoscopic splenectomy (LS) in the treatment of spleen diseases. Methods Under CO 2 pneumoperitoneum, laparoscopic splenectomy was performed on 43 patients. General conditions before and after operation, platelet counting, complications and recovery of patients were studied. Results Laparoscopic splenectomy was performed without complications in all the patients. In the patients with ITP, the effective rate of LS was 89 3%. The difficulty of operation was identified when the diameter of the spleen was over 15 cm assessed by ultrasonic examination, and the operative time was usually prolonged. Conclusions LS is one of the best choices when proper indications exist and good techniques under laparoscopy are prooided.更多还原