| 手助腹腔镜及开腹脾切除巨脾的临床疗效比较 |
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| 引用本文： | 戴国清.手助腹腔镜及开腹脾切除巨脾的临床疗效比较[J].中国普通外科杂志,2011,20(12):1380-1382. |
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| 作者姓名： | 戴国清 |
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| 作者单位： | 同济大学附属东方医院消化外科; |
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| 摘 要： | 目的比较手助腹腔镜(HALS)和开腹切除(OP)巨脾的临床效果。方法回顾性分析2004年—2010年行脾切除术患者的临床资料,比较其中大于20 cm脾脏行HALS和OP的临床疗效。结果大于20 cm的巨脾切除术患者41例,21例为HALS手术,20例为开腹脾切除手术。HALS组的中转开腹率4.7%。HALS和OP组的平均出血量为227 mL和887 mL(P=0.01),平均输血为0和0.6单位(P<0.05)。HALS组的住院时间比OP显著为短(4.3 d vs.8.4 d)(P=0.001)。并发症发生率两者相比无统计学差异(P>0.05)。结论 HALS是一项安全和有效的巨脾(大于20 cm)切除技术。相比开腹脾切除其住院时间更短,出血及输血更少,是一种行之有效的替代方法。
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| 关 键 词： | 脾切除术/方法 脾切除术 手助腹腔镜 巨脾 |
| 收稿时间： | 2011/9/22 0:00:00 |
| 修稿时间： | 2011/11/30 0:00:00 |
Comparison of hand-assisted laparoscopic splenectomy with open splenectomy for massive splenomegaly |
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| DAI Guoqing.Comparison of hand-assisted laparoscopic splenectomy with open splenectomy for massive splenomegaly[J].Chinese Journal of General Surgery,2011,20(12):1380-1382. |
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| Authors: | DAI Guoqing |
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| Institution: | DAI Guoqing(Department of Digestive Surgery,Affiliated Shanghai East Hospital,Tongji University,Shanghai 200120,China) |
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| Abstract: | Objective To compare the efficiency of hand-assisted laparoscopic splenectomy(HALS) and open splenectomy(OP) for massive splenomegaly.Methods The clinical data of patients undergoing splenectomy in our hospital between 2004 and 2010 were retrospectively analyzed to compare the clinical efficacy of HALS and OP in patients with spleen size larger than 20 cm.Results Forty-one patients with spleen size larger than 20 cm underwent splenectomy,of whom,21 cases underwent HALS and 20 cases underwent OP.The conversi... |
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| Keywords: | Splenectomy/methods Splenectomy Hand-assisted Laparoscopic Massive Splenomegaly |
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