腹腔镜下外伤性脾破裂切除加自体脾移植术的临床研究(附7例报告)

目的:探讨腹腔镜下外伤性脾破裂切除加自体脾移植术的临床意义及并发症的预防。方法:回顾分析7例经腹腔镜行腹腔探查并实施外伤性脾脏切除,同时腔镜下行自体脾移植术的资料。结果:术后1例出现脾窝积液、胸腔积液、胰漏,经过抗感染及抑酶和胸穿抽胸水治疗后痊愈,1个月后拔上腹引流管。其余6例术后均无脾窝积液、脾热及切口感染,术后第2天离床活动,住院7~30d。结论:只要把握好适应证,腹腔镜下外伤性脾破裂切除加自体脾移植术是一种理想的保脾术式,创伤小,康复快,手术效果理想。

Clinical study on the laparoscopic traumatic splenic rupture and splenosis: with a report of 7 cases

Objective:To explore the clinical significance and the prevent method of the complactions of laparoscopic traumatic splenic rupture and splenosis.Methods:7 cases were performed laparoscopy and removed the traumatic splenic rupture,at same time the sptenosis was performed.Results:After operation,1 case underwent splenic recess hydrops,intrathoracis hydrops,pancreatic fistula and cured with anti-infections,inhibitory engyme and abstraction hydrothorax.The drainage-tube was extracted after 1 month.No splenic recess hydrops and incision infections were occured in other six cases.Second day after operation the patients could leave bed.The time in hospital was 7~30 days.Conclusions:As long as indications are seized,the laparoscopic traumatic splenic rupture and splenosis are safely with the advatanges of good curative effect,minimal invasion and quick recovery.