摘要
目的通过对比腹腔镜巨脾切除手术与传统开腹巨脾切除手术的手术效果,探讨腹腔镜巨脾切除手术的可行性。方法将63例肝硬化伴脾亢、巨脾患者按手术治疗方法不同分为2组:腹腔镜组34例行腹腔镜巨脾切除手术、开腹组29例行传统开腹巨脾切除手术。比较2组手术时间、术中出血量、术后24 h引流量、术后发热时间、术后腹腔引流管拔出时间及术后住院时间。结果 2组手术均顺利完成,无围术期死亡病例。腹腔镜组有2例患者均因出血无法控制而中转开腹,成功完成腹腔镜巨脾切除术32例。腹腔镜组术中出血量、术后24 h引流量、术后引流管拔除时间及术后住院时间均较开腹组明显减少(P<0.01);2组手术时间、术后发热时间比较差异无统计学意义(P﹥0.05)。结论腹腔镜巨脾切除手术是一种安全的手术方式,与传统手术比较,具有创伤小、出血少、术后恢复快等优点。
Objective To investigate the feasibility of laparoscopic splenectomy for megalosplenia through a comparison with traditional laparotomy. Methods Sixty-three patients with liver cirrhosis,hypersplenism and megalosplenia were assigned to receive either laparoscopic splenectomy（laparoscopy group,n=34） or traditional open splenectomy（laparotomy group, n=29）. The operation time, intraoperatve blood loss, amount of drainage 24 hours after operation, duration of postoperative fever, extubation time and postoperative hospital stay were compared between the two groups. Results All patients underwent operation successfully and no patients died during the perioperative period. In laparoscopy group, 2patients were converted to laparotomy due to uncontrolled bleeding, and the other 32 patients succ-essfully completed laparoscopic splenectomy.Compared with laparotomy group, the intraoperatve blood loss, amount of drainage 24 hours after operation, extubation time and length of postoperative hospital stay significantly decreased in laparoscopy group（P0.01）. No significant differences in operation time and duration of postoperative fever were found between the two groups（P〉0.05）. Conclusion The laparoscopic splenectomy is a safe procedure for megalosplenia. Compare with traditional open splenectomy, the procedure can reduce trauma, decrease blood loss and promote postoperative recovery.
出处
《实用临床医学（江西）》
CAS
2014年第12期34-36,共3页
Practical Clinical Medicine
关键词
巨脾
腹腔镜脾切除术
传统开腹巨脾切除术
megalosplenia
laparoscopic splenectomy for megalosplenia
traditional open splenec tomy for megalosplenia
