| 保留脾脏的全腹腔镜选择性贲门周围血管离断术临床研究 |
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| 引用本文： | 何威, 王卫东, 刘清波, 陈坚平, 林杰, 马靖, 叶剑, 左海波. 保留脾脏的全腹腔镜选择性贲门周围血管离断术临床研究[J]. 分子影像学杂志, 2017, 40(2): 186-189. doi: 10.3969/j.issn.1674-4500.2017.02.17 |
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| 作者姓名： | 何威 王卫东 刘清波 陈坚平 林杰 马靖 叶剑 左海波 |
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| 作者单位： | 佛山市顺德区第一人民医院，广东 佛山 528300 |
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| 摘 要： | 目的探讨保留脾脏的全腹腔镜下选择性贲门周围血管离断术治疗门静脉高压症上消化道出血的疗效。 方法2011年2月~2014年12月期间接受保留脾脏的全腹腔镜选择性贲门周围血管离断术患者11例。观察其保脾断流手术前后血常规、肝功能、凝血功能、并发症以及手术时间、手术中出血量等指标，术后对患者进行长期随访，观察再出血率和生存情况。 结果11例患者均在全腹腔镜下完成保留脾脏的选择性贲门周围血管离断术。手术时间110~225 min，平均157±31 min；手术中出血30~150 mL，平均83±37 mL。术后住院时间5~14 d(平均9.4 d)。患者手术后1周外周血白细胞、血小板、血红蛋白、总胆红素、白蛋白和凝血功能等与手术前比较均无明显统计学差异（P>0.05）。 结论保留脾脏的全腹腔镜选择性贲门周围血管离断术为食管胃底静脉曲张破裂出血的患者提供了一种更为安全、有效的治疗手段。
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| 关 键 词： | 门静脉高压症 选择性贲门周围血管离断术 脾脏 腹腔镜手术 |
| 收稿时间： | 2017-03-06 |
Clinical study of total laparoscopic selective pericardial devascularization without splenectomy |
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| Wei HE, Weidong WANG, Qingbo LIU, Jianping CHEN, Jie LIN, Jing MA, Jian YE, Haibo ZUO. Clinical study of total laparoscopic selective pericardial devascularization without splenectomy[J]. Journal of Molecular Imaging, 2017, 40(2): 186-189. doi: 10.3969/j.issn.1674-4500.2017.02.17 |
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| Authors: | Wei HE Weidong WANG Qingbo LIU Jianping CHEN Jie LIN Jing MA Jian YE Haibo ZUO |
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| Affiliation: | the First People's Hospital of Shunde, Foshan 528300, China |
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| Abstract: | ObjectiveTo evaluate the therapeutic effect of total laparoscopic selective pericardial devascularization without splenectomy. MethodsThe clinical data of 11 patients who received total laparoscopic selective pericardial devascularization without splenectomy from Feb 2011 to Dec 2014 were retrospectively analyzed. The blood routine, hepatic function, blood coagulation function, perioperative compliations, operation time and amount of bleeding were observed. The patients were followed-up and the re-bleeding rate and survival rate were observed. ResultsAll of the 11 operations were completed successfully under laparoscope. The mean operation time was 157 min (ranged from 110 to 225 min). The mean intraoperative blood loss was 83 ml (ranged from 30 to 150 ml). The mean postoperative hospital stay was 9.4 days(ranged from 5 to 14 days). There was no significant difference in the levels of the leukocyte, platelet, hemoglobin, total billrubin, albumin and blood coagulation function between pre- and a week after postoperative (P>0.05). ConclusionTotal laparoscopic selective pericardial devascularization without splenectomy is a safe and effective method for treatment of portal hypertension with upper gastrointestinal hemorrhage. |
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| Keywords: | selective pericardial devascularization portal hypertension spleen laparoscopic surgery |
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