| 二级脾蒂离断法在腹腔镜脾切除术中应用价值分析（附32例报告） |
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| 引用本文： | 杨栋,吴晓阳,张小川.二级脾蒂离断法在腹腔镜脾切除术中应用价值分析（附32例报告）[J].中国临床医学,2009,16(5):747-748. |
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| 作者姓名： | 杨栋 吴晓阳 张小川 |
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| 作者单位： | 江苏省昆山市第一人民医院外科,江苏昆山,215300 |
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| 摘 要： | 目的：探讨腹腔镜脾切除术（LS）中应用二级脾蒂离断法的安全性、可行性及临床疗效。方法：对2006年5月—2009年3月施行腹腔镜二级脾蒂离断法脾切除术32例的临床资料进行回顾分析。其中血吸虫肝硬化致继发性脾功能亢进18例,肝炎肝硬化致继发性脾功能亢进6例,免疫性血小板减少性紫癜（ITP）5例,脾良性肿瘤3例,均在全腹腔镜下行二级脾蒂离断法脾切除术。结果：全组手术均成功,无中转开腹,无严重并发症。术后1例并发胸腔积液、胸膜炎,经积极抗炎治疗及胸腔穿刺后痊愈出院。2例术后出现脾热,对症治疗后治愈出院。平均手术时间125min,术中平均失血120mL,平均住院时间7d。结论：在腹腔镜脾切除术中应用二级脾蒂离断法安全性高、切实可行,并可一定程度降低腹腔镜手术费用,有临床推广价值。
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| 关 键 词： | 腹腔镜脾切除术 脾蒂 |
Amputation of Spleen Pedicle Secondary Structure in Laparoscopic Splenectomy: Analysis of 32 Cases |
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| YANG Dong,WU Xiaoyang,ZHANG Xiaochuan.Amputation of Spleen Pedicle Secondary Structure in Laparoscopic Splenectomy: Analysis of 32 Cases[J].Chinese Journal Of Clinical Medicine,2009,16(5):747-748. |
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| Authors: | YANG Dong WU Xiaoyang ZHANG Xiaochuan |
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| Institution: | YANG Dong WU Xiaoyang ZHANG Xiaochuan Department of Surgery,the First People's Hospital of Kunshan City in Jiangsu Province,Kunshan 215300,China |
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| Abstract: | Objective:To investigate the feasibility and clinical efficacy of spleen secondary structure amputation in laparoscopic splenctomy (LS). Methods: Thirty-two cases of LS applying spleen secondary structure amputation between May 2006 and March 2009 were retrospectively analyzed,including 18 cases of hypersplenism due to hepatic schistosomiasis,6 cases of hypersplenism due to hepatitis,5 cases of immunologic thrombocytopenic purpura,3 cases of splenic benign tumor. Results: Operation of all the 32 cases were ... |
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| Keywords: | Laparoscopic spenectomy Spleen pedicle |
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