| 全腹腔镜贲门周围血管离断术治疗门脉高压症 |
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| 引用本文： | 王卫东,陈小伍,梁智强,冯家立,吴志强,冯剑平,刘清波,何威,陈坚平. 全腹腔镜贲门周围血管离断术治疗门脉高压症[J]. 中国微创外科杂志, 2011, 16(6): 524-527 |
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| 作者姓名： | 王卫东 陈小伍 梁智强 冯家立 吴志强 冯剑平 刘清波 何威 陈坚平 |
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| 作者单位： | 广东省佛山市顺德第一人民医院外二科,佛山,528300 |
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| 摘 要： | 目的探讨全腹腔镜下贲门周围血管离断术的技巧和方法。方法 2007年5月~2010年10月,采用完全腹腔镜方法,对34例肝硬化门脉高压并上消化道出血的患者行贲门周围血管离断术。术中切脾方法采用一级脾蒂离断法或者二级脾蒂离断法,断流方法采用选择性或非选择性贲门周围血管离断术。结果 33例在全腔镜下完成（其中2例为选择性贲门周围血管离断术）,1例需手助。手术时间170~430 min,平均250 min。术中失血100~1000 ml,平均533 ml。1例术后肝功能衰竭死亡。33例术后住院8~20 d,平均10.6 d。30例术后随访3~25个月,平均13个月,2例再出血,1例原发性肝癌。结论全腹腔镜下贲门周围血管离断术治疗门脉高压症是一种安全、微创、可行的方法。
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| 关 键 词： | 腹腔镜手术 门奇断流术 门脉高压症 脾切除术 |
Laparoscopic Pericardial Devascularization for Portal Hypertension |
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| Wang Weidong,Chen Xiaowu,Liang Zhiqiang,et al.. Laparoscopic Pericardial Devascularization for Portal Hypertension[J]. Chinese Journal of Minimally Invasive Surgery, 2011, 16(6): 524-527 |
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| Authors: | Wang Weidong Chen Xiaowu Liang Zhiqiang et al. |
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| Affiliation: | Wang Weidong,Chen Xiaowu,Liang Zhiqiang,et al.Department of General Surgery,Shunde District First People's Hospital,Foshan 528300,China |
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| Abstract: | Objective To investigate the techniques of laparoscopic pericardial devascularization for portal hypertension.Methods From May 2007 to Oct 2010,34 patients with cirrhotic portal hypertension complicated with upper gastrointestinal bleeding received selective or non-selective pericardial devascularization by using laparoscopy in our hospital.Primary or secondary structures of the splenic pedicle were cut for splenectomy during the operation. Results The laparoscopic pericardial devascularization was successf... |
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| Keywords: | Laparoscopy Pericardial devascularization Portal hypertension Splenectomy |
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