腹腔镜与传统开腹脾切除术的比较

目的:探讨腹腔镜脾切除术(laparoscopic splenectomy,LS)的临床应用价值.方法:将31例行脾切除的患者随机分为腹腔镜手术组(LS组)15例和传统开腹脾切除手术组(OS组)16例,对2组手术时间、术中失血量、术后恢复情况、术后并发症和住院费用等进行比较.结果:31例手术均获成功,LS组的切口长度、肛门排气时间、下床活动时间和住院时间均短于OS组(P<0.05～P<0.01);LS组的住院费用高于OS组(P<0.01);而2组的术中出血量及手术时间、并发症发生率差异均无统计学意义(P>0.05).结论:对于大多数脾脏疾病,LC安全可行,是一种临床效果良好的微创手术方式.

Clinical effect analysis of laparoscopic splenectomy and traditional open splenectomy

Objective:To investigate the the clinic application value of laparoscopic splenectomy(LS).Methods:Thirty-one cases with splenectomy were treated with LS(15 cases) and open splenectomy(OS)(16 cases).The operation time,intraoperative bleeding,postoperative recovery and complications and hospitalization expense of all cases were evaluated.Results:All cases were successfully operated.The length of incision,the time of anal exhaust and out of bed and the hospital stay of LS group were shorter than that of OS group(P<0.05 to P<0.01),while its hospitalization expense was high(P<0.01).The operative time,bleeding loss and complications of two groups were not statistically significant(P>0.05).Conclusions:Laparoscopic splenectomy is a safe,feasible,good effects and minimally invasive surgery for most spleen diseases.