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二级脾蒂离断法与Endo-GIA法在腹腔镜脾切除术中临床对照研究
引用本文:冯剑平,王卫东,梁智强,何威,刘清波,吴志强. 二级脾蒂离断法与Endo-GIA法在腹腔镜脾切除术中临床对照研究[J]. 岭南现代临床外科, 2011, 11(6): 426-428. DOI: 10.3969/j.issn.1009-976X.2011.06.007
作者姓名:冯剑平  王卫东  梁智强  何威  刘清波  吴志强
作者单位:1. 佛山市顺德区第一人民医院;2. 广东佛山市顺德区第一人民医院;
基金项目:佛山市卫生局项目(2009397)
摘    要:
目的 探讨二级脾蒂离断法在腹腔镜脾切除术中的临床应用价值。方法 40例脾亢患者随机分为:行二级脾蒂离断法的试验组和使用ENDO-GIA离断脾蒂的对照组。观察两组患者围手术期的出血量、手术时间、术后并发症、住院时间及住院费用等情况。结果40例患者手术均成功完成,两组患者在手术时间、术中出血量、术后出血量均无明显差异(P>0.05)。但在住院费用、高淀粉酶血症、术后发热时,差异有显著性,试验组优于对照组(P<0.05)。结论 二级脾蒂离断法安全、可行,值得临床推广应用。

关 键 词:脾蒂  腹腔镜  脾切除术  
收稿时间:2011-11-10

Clinical comparison between disconnection of secondary splenic pedicle and Endo-GIA procedure for laparoscopic splenectomy
Feng Jianping,Wang Weidong,Liang Zhiqiang,He Wei,Liu Qingbo,Wu Zhiqiang. Clinical comparison between disconnection of secondary splenic pedicle and Endo-GIA procedure for laparoscopic splenectomy[J]. Lingnan Modern Clinics in Surgery, 2011, 11(6): 426-428. DOI: 10.3969/j.issn.1009-976X.2011.06.007
Authors:Feng Jianping  Wang Weidong  Liang Zhiqiang  He Wei  Liu Qingbo  Wu Zhiqiang
Affiliation:Feng Jianping,.Wang Weidong,.Liang Zhiqiang,.He Wei,.Liu Qingbo,Wu Zhiqiang..Department of General Surgery,The First People's Hospital of Shunde District,Foshan,Guangdong 528300
Abstract:
Objective To explore the applied value of secondary splenic pedicle disconnection for laparoscopic splenectomy.Methods Forty cases were randomly divided into secondary splenic pedicle disconnection group(experimental group,.n=20) and Endo-GIA splenic pedicle disconnection group(control group,n=20)..The volume of preoperative blood loss,.operation time,.postoperative complications,.hospitalization time and cost were observed in two groups.Results Operations of 40 cases were performed successfully..In the ope...
Keywords:Spleen Pedical  Laparoscope  Splenectomy  
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