[1]陈小伍,王卫东,冯剑平,等.腹腔镜二级脾蒂离断法脾切除[J].中国微创外科杂志,2008,08(1):24-25.
　Chen Xiaowu,Wang Weidong,Feng Jianping,et al.Laparoscopic Splenectomy with Amputation of the Secondary Spleen Pedicle[J].Chinese Journal of Minimally Invasive Surgery,2008,08(1):24-25.
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腹腔镜二级脾蒂离断法脾切除()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年1期
页码:
24-25
栏目:
出版日期:
2008-10-22

文章信息/Info

Title:
Laparoscopic Splenectomy with Amputation of the Secondary Spleen Pedicle
作者:
陈小伍; 王卫东; 冯剑平; 刘清波
广东省佛山市顺德第一人民医院外二科，佛山528300
Author(s):
Chen Xiaowu;  Wang Weidong;  Feng Jianping;  et al.
Department of General Surgery, First People’s Hospital of Shunde District, Foshan 528300, China
关键词:
腹腔镜; 脾切除术; 脾蒂
Keywords:
Laparoscopy; Splenectomy; Spleen pedicle
分类号:
R657.6
文献标志码:
A
摘要:
目的总结腹腔镜二级脾蒂离断法脾切除的应用价值。方法2006年9月～2007年5月，行腹腔镜二级脾蒂离断法脾切除13例，其中外伤性脾破裂出血5例、特发性血小板减少性紫癜2例、肝硬化脾功能亢进6例。结果全部镜下完成,未使用手辅助。手术时间150～300 min，平均210 min,术中出血50～800 ml，平均350 ml,术后住院5～9 d，平均75 d,无手术并发症。随访1～6个月,血小板均在正常范围。结论腹腔镜二级脾蒂离断法脾切除术安全、可行、微创。
Abstract:
ObjectiveTo summarize our experience on laparoscopic splenectomy with amputation of the secondary spleen pedicle.MethodsFrom September 2006 to May 2007, laparoscopic splenectomy with amputation of the secondary spleen pedicle was performed on 13 patients, including 5 cases of traumatic spleen rupture, 2 idiopathic thrombocytopenic purpura, and 6 hypersplenism.ResultsAll the operations were completed under a laparoscope without using handassisted procedures. The intraoperative blood loss was 50-800 ml (mean, 350 ml), and the operation time was 150-300 min (mean, 210 min). No complications occurred during and after the operation. The average postoperative hospital stay was 5-9 d (mean, 7.5 d). The patients were followed up for 1-6 months, during which all the patients had normal platelet count.ConclusionsLaparoscopic splenectomy with amputation of the secondary spleen pedicle is a feasible, minimally invasive, safe and lowcost procedure.

参考文献/References:

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更新日期/Last Update: 2013-10-22