腹腔镜巨脾切除贲门周围血管离断术治疗门脉高压症

目的:探讨腹腔镜巨脾切除术的可行性和安全性。方法:2003年10月至2008年12月我院为11例脾长径大于25cm的肝硬化门脉高压、脾功能亢进、食道胃底静脉曲张患者施行腹腔镜巨脾切除加贲门周围血管离断术。结果:11例均顺利完成腹腔镜手术,无中转开腹,手术时间平均250min,平均出血430ml。结论:只要具备相应的手术设备,熟练掌握手术技巧,腹腔镜巨脾切除加贲门周围血管离断术安全可行。

Laparoscopic splenectomy for megalosplenia plus pericardial devascularization in the treatment of portal hypertension

Objective:To evaluate safety and feasibility of laparoscopic splenectomy(LS) for megalosplenia.Methods:Eleven patients with huge spleen(length>25cm),portal hypertension,hypersplenia,esophageal and gastric fundus varices underwent LS and pericardial devascularization from Oct.2003 to Dec.2008.Results:LS combined with pericardial devascularization was successfully performed on all these cases,without conversion to open surgery.The mean operative time was 250min,and mean blood loss was 430ml.Conclusions:On the premise of well equipped operative device and skilled operative technique,LS for megalosplenia combined with pericardial devascularization is relatively safe and feasible.