| 预结扎脾动脉腹腔镜巨脾切除术12例分析 |
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| 引用本文： | 沈亦钰,曹浩强,周鸿鲲.预结扎脾动脉腹腔镜巨脾切除术12例分析[J].腹腔镜外科杂志,2009,14(5). |
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| 作者姓名： | 沈亦钰 曹浩强 周鸿鲲 |
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| 作者单位： | 嘉兴市第二医院,浙江,嘉兴,314000 |
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| 摘 要： | 目的:探讨预结扎脾动脉腹腔镜巨脾切除术的方法和疗效。方法:为12例巨脾伴脾功能亢进患者行腹腔镜脾切除术。术中预结扎脾动脉,超声刀解剖脾周韧带,Endo-GIA离断脾蒂。结果:12例患者均顺利完成手术,无中转开腹及并发症发生。术后血小板、白细胞均明显上升。结论:随着超声刀、Endo-GIA等先进器械的应用,预结扎脾动脉腹腔镜巨脾切除术已成为治疗巨脾、脾功能亢进的有效术式。
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| 关 键 词： | 腹腔镜术 脾切除术 脾功能亢进 |
Laparoscopic splenectomy for megalosplenia with pre-ligation of splenic artery |
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| SHEN Yi-yu,CAO Hao-qiang,ZHOU Hong-kun.Laparoscopic splenectomy for megalosplenia with pre-ligation of splenic artery[J].Journal of Laparoscopic Surgery,2009,14(5). |
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| Authors: | SHEN Yi-yu CAO Hao-qiang ZHOU Hong-kun |
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| Institution: | SHEN Yi-yu,CAO Hao-qiang,ZHOU Hong-kun.Dept.of Hepatobiliary Surgery,the Second Hospital of Jiaxing,Jiaxing 314000,China |
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| Abstract: | Objective:To explore the method and therapeutic effect of laparoscopic splenectomy for megalosplenia with pre-ligation of splenic artery.Methods:Laparoscopic splenectomy was performed in 12 patients with megalosplenia combined with hypersplenism.Before the perisplenic ligaments were dissected by ultrasonic dissector and splenic pedicle was cut with Endo-GIA stapler,the splenic artery was ligated first.Results:Laparoscopic splenectomies were successfully performed in 12 patients.There was no conversion to la... |
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| Keywords: | Laparoscopy Splenectomy Hypersplenism |
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