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脾破裂手助腹腔镜切除术的应用
引用本文:丁胜文,谢健,殷容暖,尹锡州. 脾破裂手助腹腔镜切除术的应用[J]. 腹腔镜外科杂志, 2008, 13(4): 277-278
作者姓名:丁胜文  谢健  殷容暖  尹锡州
作者单位:东莞市常平医院,广东,东莞,523573;东莞市常平医院,广东,东莞,523573;东莞市常平医院,广东,东莞,523573;东莞市常平医院,广东,东莞,523573
基金项目:东莞科技计划项目立项课题
摘    要:目的:探讨手助腹腔镜技术在脾破裂切除术中的应用。方法:用手助腹腔镜技术为15例外伤性脾破裂患者行脾切除术。结果:14例顺利完成手术,1例术中大出血中转开腹,平均手术时间105min,术中平均失血110ml,平均住院6.5d。结论:手助腹腔镜技术治疗外伤性脾破裂是安全可行的,适用于无脑、胸损伤,血液动力学稳定的患者。

关 键 词:脾破裂  手助腹腔镜手术  脾切除术

The application of hand-assisted laparoscopic surgery in splenic rupture
DING Sheng-wen,XIE Jian,YIN Rong-nuan,et al.. The application of hand-assisted laparoscopic surgery in splenic rupture[J]. Journal of Laparoscopic Surgery, 2008, 13(4): 277-278
Authors:DING Sheng-wen  XIE Jian  YIN Rong-nuan  et al.
Affiliation:DING Sheng-wen,XIE Jian,YIN Rong-nuan,et al.Dept.of Second Surgery of Changping Hospital,Dongguan 523573,China
Abstract:Objective:To explore the application of hand-assisted laparoscopic surgery(HALS) technique in splenic rupture.Methods:The clinical data of fifteen cases of spleen rupture underwent splenectomy with HALS was analyzed.Results:Fourteen cases were successfully accomplished under HALS,one case was converted to open surgery for hemorrhea during the surgery.The average operative time,bleeding volume and average hospitalization were 105min,110ml and 6.5d respectively.Conclusions: The method of using hand-assisted laparoscopic surgery technique to treat traumatic splenic rupture is feasible,especially for the patients with normal haemodynamics,but without cerebral and thoracic trauma.
Keywords:Splenic rupture  Hand-assisted laparoscopic surgery  Splenectomy
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