四川医学2009，Vol.30Issue(7)：1024-1025,2.
直线切割缝合器行二级脾蒂离断术在创伤性脾破裂脾切除术中的应用
Linear cutter-assisted splenectomy for traumatic spleen rupture
陈康 1蒋忠宁 1冯仕彦 1李伟1
作者信息
- 1. 四川省人民医院·四川省急救中心急诊外科,四川成都,610072
- 折叠
摘要
Abstract
Objective For traumatic spleen ruptures splenectomies were often indicated. When traditional splenectomies were carried out, splenic pedicles were ligated en bloc ; this method was frequently associated with splenic fever, pancreatic tail injury, bleeding, etc. From October of 2007 through February of 2009, a new surgical approach linear cutter-assisted splenecto-my-was adopted by us to treat traumatic spleen ruptures. The key-pints of this method are the exposure of splenic pedicle bifur-cation and cutting the splenic pedicle near splenic parenchyma with linear cutter. The cases treated with this new method were analyzed. Methods 112 cases of traumatic spleen ruptures treated with either traditional splenectomy or new surgical approach were retrospectively analyzed and compared. Results The group treated with linear cutter-assisted splenectomy had significantly less cases of splenic fever and pancreatic leakage, and significantly shorter length of bloody drainage and length of hospital stay. Conclusion linear cutter-assisted splenectomy was associated with less complications and better outcome. This new surgical ap-proach should be widely adopted.关键词
直线切割缝合器/二级脾蒂离断术/创伤性脾破裂/脾切除术/脾热/胰漏Key words
linear cutter/ splenectomy/ traumatic spleen rupture/ splenic fever/ pancreatic leakage分类
医药卫生引用本文复制引用
陈康,蒋忠宁,冯仕彦,李伟..直线切割缝合器行二级脾蒂离断术在创伤性脾破裂脾切除术中的应用[J].四川医学,2009,30(7):1024-1025,2.
