| 摘要: |
| ［摘要］ 目的 总结腹腔镜下脾切除术的临床应用体会。方法 回顾分析2010-01～2011-12该院施行的21例腹腔镜下脾切除术患者的临床资料。结果 手术无中转开腹，手术时间为（178±36）min，术中出血量为（335±68）ml，均未需输血，术后住院时间为（10.2±1.3）d，均无并发症发生。结论 腹腔镜下脾切除术安全可靠，是一种临床治疗效果良好的微创手术方式。术中预防大出血和防止周围临近脏器热传导损伤是手术中必须重视的问题。 |
| 关键词: 脾切除术 腹腔镜 微创性 外科手术 |
| DOI：10.3969/j.issn.1674-3806.2013.04.25 |
| 分类号:R 61 |
| 基金项目: |
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| Experience on clinical application of laparoscopic splenectomy |
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NING Hai-bo,LIU Lei,LU Hai-ming, et al.
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Department of General Surgery, Liuzhou Worker Hospital, Guangxi 545005, China
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| Abstract: |
| ［Abstract］ Objective To explore clinical application of laparoscopic splenectomy.Methods The clinical date of 21 patients with laparoscopic splenectomy were analyzed retrospectivly from January 2010 to December 2011 at our hospital.Results Twenty-one patients were successfully operated,the average operation time was （178±36）min,mean blood loss was （335±68）ml,mean postoperative hospital stay was （10.2±1.3）d.There were no complications in patients after surgery and no conversion to open surgery.Conclusion Laparoscopic splenectomy is a feasible and safe surgical method,that is the ideal way of minimally invasive operation to splenectomy. Preventing hemorrhage and thermal conductivity injury of adjacent organs in operation is the problems that should be paid attention to. |
| Key words: Splenectomy Laparoscopy Minimally invasive Surgery |
