| 预防腹腔镜脾切除术出血的外科技术要点 |
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| 引用本文： | 孙敏,谭晶,莫小华,腾毅山,龙奎,赵恋峰,董文志,黄洁. 预防腹腔镜脾切除术出血的外科技术要点[J]. 腹腔镜外科杂志, 2009, 14(1) |
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| 作者姓名： | 孙敏 谭晶 莫小华 腾毅山 龙奎 赵恋峰 董文志 黄洁 |
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| 作者单位： | 昆明医学院第二附属医院,云南,昆明,650101 |
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| 摘 要： | 目的:探讨预防腹腔镜下脾切除术术中出血的技术。方法:完全腹腔镜手术治疗肝硬化脾肿大6例,特发性血小板减少性紫癜(idiopathic thrombocytopenic purpura,ITP)5例,脾恶性淋巴瘤3例,脾血管瘤2例,外伤性脾破裂1例。手术步骤包括解剖结扎脾动脉,切断脾周韧带,解剖结扎脾门血管并离断。结果:全部病例均用腹腔镜完成手术。患者均行脾门血管逐条解剖后结扎离断。手术时间50～240min,平均(110±35)min。出血20～1500ml,平均(160±87)ml。结论:完全腹腔镜脾切除术可行,术中早期脾动脉结扎、脾门血管逐条解剖结扎后离断是控制术中出血的关键,紧贴脾实质处理脾蒂可防止胰腺损伤。
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| 关 键 词： | 脾切除术 腹腔镜术 出血,手术 |
The technique to prevent bleeding in laparoscopic splenectomy |
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| SUN Min,TAN Jin,MO Xiao-hua,et al.. The technique to prevent bleeding in laparoscopic splenectomy[J]. Journal of Laparoscopic Surgery, 2009, 14(1) |
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| Authors: | SUN Min TAN Jin MO Xiao-hua et al. |
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| Affiliation: | SUN Min,TAN Jin,MO Xiao-hua,et al.The Minimally Invasive Surgery,the Second Affiliated Hospital of Kunming Medical College,Kunming 650101,China |
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| Abstract: | Objective:To summarize the experience of preventing bleeding on laparoscopic splenectomy.Methods:In this study 17 cases were enrolled,including 6 cirrhotic splenomegaly cases,5 idiopathic thrombocytopenic purpura cases,3 spleen malignant lymphoma cases,2 spleen hemangioma cases and 1 case of liver traumatic rupture.The splenic artery was ligated before manipulation of the spleen and the hilar vessels were resected by ligating and dissecting respectively.Results:The total laparoscopic procedure was successfu... |
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| Keywords: | Splenectomy Laparoscopy Hemorrhage surgical |
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