腹腔镜脾切除术（附8例报告）

目的 探讨腹腔镜脾切除术的可行性。方法 我院从1996年6月-2001年3月，共施行腹腔镜脾切除术8例，其中乙型肝炎后肝硬化继发脾功能亢进5例、遗传性球形红细胞增多症l例、原发性血小板减少性紫癜l例、脾淋巴管瘤l例。结果 手术成功6例，平均手术时间为4h，平均术中失血350ml，平均术后住院6d，无术后并发症。中转开腹2例。2例同时行腹腔镜胆囊切除术，l例行腹腔镜卵巢囊肿切除术。结论 腹腔镜脾切除术是一种安全可行的脾脏切除方法。

Laparoscopic Splenectomy (a report ot8 cases)

Objective To study the probability of laparoscopic splenectomy(LS). Methods From June 1999 to March 2001, 8 cases of laparoscopic splenectomy have been performed in our hospital, among which, 5 patients with secondary hypersplenism, 1 with hereditary spherocytosis, 1 with idiopathic thrombocytopenic purpura(ITP), 1 with lymphadenoma of spleen. Results LS was successfully completed in 6 patients. The mean operative time was four hours. The mean blood loss was 350ml, The median postoperative hospitalized days were 6 days. No complication occurrred. Two patients required conversion to open splenectomy(OS). 3 patients underwent concomitant procedures, 2 patients underwent cholecystectomy, 1 patients underwent ovary cystectomy. Conclusions LS is both safe and feasible procedure for patients who required splenectomy.