| 手助的腹腔镜脾切除术 |
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| 引用本文： | 朱江帆,陈江,张华云,章勇,钟金龙.手助的腹腔镜脾切除术[J].中华肝胆外科杂志,2003,9(10):605-607. |
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| 作者姓名： | 朱江帆 陈江 张华云 章勇 钟金龙 |
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| 作者单位： | 200540,上海市复旦大学附属金山医院普外科 |
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| 摘 要： | 目的 探讨手助的腹腔镜脾切除术手术技术。方法用手助技术完成5例腹腔镜脾切除术，其中原发性血小板减少性紫癜3例，血吸虫性肝硬化、脾肿大及脾功能亢进伴胆囊结石2例。3例行手助的腹腔镜脾切除术，2例同时行腹腔镜胆囊切除术 手助腹腔镜巨脾切除。结果 2～5h完成手术，术中出血少。病人术后恢复顺利。结论 手助腹腔镜脾切除术操作安全、手术时间缩短，并使腹腔镜切除较大脾脏成为可能。
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| 关 键 词： | 脾切除术 手助 腹腔镜手术 HALS 肝硬化 脾功能 |
| 修稿时间： | 2002年8月16日 |
Hand-assisted laparoscopic splenectomy |
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| ZHU Jiangfan,CHEN Jiang,ZHANG Huayun,et al..Hand-assisted laparoscopic splenectomy[J].Chinese Journal of Hepatobiliary Surgery,2003,9(10):605-607. |
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| Authors: | ZHU Jiangfan CHEN Jiang ZHANG Huayun |
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| Institution: | ZHU Jiangfan,CHEN Jiang,ZHANG Huayun,et al. Department of General Surgery,Jinshan Hospital,Fudan University,Shanghai 200540,P. R. China |
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| Abstract: | Objective To study the techniques of hand-assisted laparoscopic splenectomy. Methods The hand-assisted laparoscopic splenectomy was performed in 3 patients with idiopathic thrombocytopenic purpera and 2 with schistosomial cirrhosis, splenomegaly, hypersplenism and gallstone. Results The procedure was successfully completed in 2-5 h with less intraoperative bleeding. All the 5 patients recovered within 3 d after the operations. Conclusions Hand-assisted laparoscopic splenectomy can be safely and efficiently performed and is of shorter operative duration. Therefore, it is possible to employ this procedure for removal of larger spleens. |
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| Keywords: | Laparoscopy Splenectomy |
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