[1]许浏,何小伟,姚惠明,等.手助腹腔镜巨脾切除术临床分析[J].中国微创外科杂志,2008,08(1):29-30.
　Xu liu,He Xiaowei,Yao Huiming,et al.HandAssisted Laparoscopic Splenectomy for Massive Splenomegaly: Comparative Study[J].Chinese Journal of Minimally Invasive Surgery,2008,08(1):29-30.
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手助腹腔镜巨脾切除术临床分析()
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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:
29-30
栏目:
出版日期:
2008-10-22

文章信息/Info

Title:
HandAssisted Laparoscopic Splenectomy for Massive Splenomegaly: Comparative Study
作者:
许浏; 何小伟; 姚惠明; 徐鹿平; 钟征翔; 陆松春
嘉兴医学院附属第一医院肝胆外科,嘉兴314000
Author(s):
Xu liu;  He Xiaowei;  Yao Huiming;  et al.
First Hospital Affiliated to Jiaxing Medical School, Jiaxing 31400, China
关键词:
腹腔镜; 巨脾; 脾切除术;  手助
Keywords:
Laparoscopy; Massive Splenomegaly; Splenectomy; HandAssisted
分类号:
R657.6
文献标志码:
A
摘要:
目的探讨对巨脾行手助腹腔镜脾切除术（handassisted laparoscopic splenectomy,HALS）的可行性、安全性和手术技巧。方法2005年1月～2006年12月，对门脉高压性巨脾40例，采用HALS（n=15）或开腹脾切除(open splenectomy，OS)(n=25)。2组年龄、性别、肝功能分级、脾脏大小相似。结果2组未发生严重手术并发症。与OS组相比，HALS组术中出血多［（312±61）ml vs （235±105）ml，t=2.583,P=0.014］，手术时间长［（95±20）min vs （73±16）min，t=3.832，P=0000］，术后肠功能恢复早［（48±1）h vs （98±1）h，t=-153.093，P=0.000］，术后住院时间短［（6±2）d vs （10±2）d，t=-6124，P=0.000）］。结论手助腹腔镜巨大脾脏切除是安全、可行的。与开腹脾脏切除相比，虽然手术时间长，但是术后恢复快、住院时间短。
Abstract:
ObjectiveTo explore the safety, feasibility, and techniques of handassisted laparoscopic splenectomy (HSLS) for massive splenomegaly.MethodsBetween January 2005 and December 2006, 40 patients with massive splenomegaly owning to portal hypertension were treated with HSLS or open splenectomy (OS). The two groups were comparable in age, sex, hepatic function by Child classification, and size of the spleen.ResultsNo serious complications occurred in both the groups. Compared with the OS group, patients in the HALS group had more blood loss ［ (312±61) ml vs (235±105) ml, t=2.583, P=0.014］, longer operation time ［(95±20) min vs (73±16) min, t=3.832, P=0.000］, earlier recovery of intestinal function ［(48±1) h vs (98±1) h, t=-153.093, P=0.000］, and shorter postoperative hospital stay ［(6±2) d vs (10±2) d, t=-6.124, P=0000］.ConclusionsHSLS is feasible and safe for patients with massive splenomegaly. Despite a longer operation time, the procedure is superior in postoperative recovery.

参考文献/References:

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更新日期/Last Update: 2013-10-22