腹腔镜与开腹脾切除术在脾淋巴瘤治疗中的对比研究

目的:探讨腹腔镜脾切除术(LS)与开腹脾切除术(OS)治疗原发性脾脏淋巴瘤(PSL)的临床疗效.方法:回顾分析2012年9月至2018年1月手术治疗的35例PSL患者的临床资料,其中18例行OS(开腹组),17例行LS(腹腔镜组,包括手助式).对比分析两组手术时间、术中出血量、术后镇痛时间、术后下床活动时间、术后通气时...

Comparative study of laparoscopic versus open splenectomy for primary splenic lymphoma

Objective:To investigate the clinical efficacy of laparoscopic splenectomy(LS) and open splenectomy(OS) in the treatment of primary splenic lymphoma(PSL).Methods:The clinical data of 35 patients with PSL treated by surgery from Sep.2012 to Jan.2018 were analyzed retrospectively.Of those cases,18 were treated by OS and LS was conducted in 17 cases(hand-assisted laparoscopy included).The operative time,intraoperative blood loss,the postoperative analgesia time,postoperative ambulation time,postoperative ventilation time and so on were compared between the two groups.Results:The intraoperative blood loss,the postoperative analgesia time,postoperative ambulation time,postoperative ventilation time and the postoperative hospital stay in LS group were less than those in OS group while the operation duration in LS group was longer than that in OS group with statistically significant difference(P<0.05).There was no statistically significant difference in the drainage time and the postoperative complications between two groups(P>0.05).Conclusions:PSL is difficult to diagnose.The operation may obtain the pathological diagnosis support,also may have the certain therapeutic effect.Compared to the OS,LS has advantages of few trauma,quick recovery after surgery and cosmetic incision,and provides a good choice for PSL patients.