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腹腔镜脾切除断流术3例报告
引用本文:刘勇峰,梅乐园,袁江涛,袁泉.腹腔镜脾切除断流术3例报告[J].腹腔镜外科杂志,2009,14(5).
作者姓名:刘勇峰  梅乐园  袁江涛  袁泉
作者单位:延安大学附属医院,陕西,延安,716000
摘    要:目的:比较手助腹腔镜脾切除断流术与完全腹腔镜脾切除断流术的治疗效果。方法:回顾分析2008年1月至2009年2月我院行腹腔镜脾切除断流术3例患者的临床资料。结果:手助腹腔镜脾切除断流术手术时间短(平均185min),术中出血量较多(平均860ml)。完全腹腔镜脾切除断流术手术时间长(245min),术中出血量较少(550ml)。结论:手助腹腔镜脾切除断流术操作较方便,适用于脾脏体积较大,脾门血管处理困难者。完全腹腔镜脾切除断流术创伤小,术中出血少,适用于脾脏体积小,胰尾细长,脾门血管易处理者。

关 键 词:腹腔镜术  脾切除术  手助腹腔镜手术  病例报告

Laparoscopic splenectomy and disconnection:with a report of 3 cases
LIU Yong-feng,MEI Le-yuan,YUAN Jiang-tao,et al..Laparoscopic splenectomy and disconnection:with a report of 3 cases[J].Journal of Laparoscopic Surgery,2009,14(5).
Authors:LIU Yong-feng  MEI Le-yuan  YUAN Jiang-tao  
Institution:LIU Yong-feng,MEI Le-yuan,YUAN Jiang-tao,et al.Yan'an University Affiliated Hospital,Yan'an 716000,China
Abstract:Objective:To compare the therapeutic efficacy of hand-assisted laparoscopic splenectomy and disconnection with complete laparoscopic splenectomy and disconnection.Methods:The clinical data of 3 cases underwent laparoscopic splenectomy and disconnection from Jan.2008 to Feb.2009 were analyzed retrospectively.Results:The operation time of hand-assisted laparoscopic splenectomy and disconnection(average 185min) was shorter than complete laparoscopic splenectomy and disconnection (245min),the blood loss of hand...
Keywords:Laparoscopy  Splenectomy  Hand-assisted laparoscopic surgery  Case report  
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