手助腹腔镜技术在巨脾切除中的应用

目的:探讨手助腹腔镜技术在巨脾切除术中的应用。方法:用手助腹腔镜技术实施1例巨脾切除术。结果:顺利完成手助腹腔镜巨脾切除,手术时间3h,术中失血30ml,切除脾脏约40cm×15cm×10cm大小,未中转开腹,无术中术后并发症发生,住院7d,治愈出院。结论:手助腹腔镜脾切除术对于巨脾是可行的、安全的,而且保留了微侵袭外科恢复快的优点,为组织学检查提供足够大的标本。

The application of hand-assisted laparoscopic surgery in massive splenomegaly: with a case report and review of the literature

Objective: To explore the application of the techniques of handassisted laparoscopic surgery for massive splenomegaly.Methods:The handassisted laparoscopic splenectomy was performed in 1 patient of hereditary spherocytosis with splenomegaly. Results: The procedure was successfully completed in 3 h with less intraoperative bleeding. No conversion from HALS to open surgery were necessary. The size of the specimen was 40cm×15cm×10cm. The operative blood loss was 30ml. The patient recovered smoothly within 7 days after operation without any postoperative complication.Conclusions: Handassisted laparoscopic splenectomy for massive splenomegaly is feasible and safe while preserving the recovery benefits of minimal access surgery. It provides an adequate specimen for histologic study.