腹腔镜外科杂志2012，Vol.17Issue(8)：564-566,3.
手助腹腔镜与开腹巨脾切除术对机体应激反应的影响
Effects of hand-assisted laparoscopic splenectomy and open splenectomy for giant spleens on systemic stress responses
摘要
Abstract
Objective:To summarize the influences of hand-assisted Laparoscopic splenectomy and open spletiectoniy for giant spleens on systemic stress response. Methods;Forty patients diagnosed as giant spleens from Aug. 2006 to Oct. 2011 were divided into two pioups according to their economic status and will,20 cases were operated by hand-assisted laparoseopie splenectomy( HALS) ,and the other 20 cases were operated by open splenectomy ( OS) - Plasma levels of enrtisol( COR), tumor necrosis factor-a(TNF-a) , inter-leukin-6( IL-6) and C-reactive protein(CRP) were measured before and after surgery and comparatively analyzed. Results:The mean value of laboratory test of HALS group was significantly less than that of OS group in such indexes as plasma levels of COR,TNF-α,IL-6 and CRP on the 1st day after operation (P＜0.05) , TNF-α and CRP on the 3rd day after operation (P ＜0. 05 ) ,CRP on the 5th day after operation. (P ＜ 0. 01) . Conclusions: Compared with open spleneutomy , hand-assisted laparoscopic splenectomy for giant spleens has the advantages of less systemic stress response mid more minimal invasiveness.关键词
脾大/脾切除术/手助/腹腔镜检查/剖腹术/应激Key words
Splenomegaly/Spleneclomy/ Hand-assisted/Laparoscopy/Laparotomy/Stress分类
医药卫生引用本文复制引用
高远,林雨冬,张绍庚,王明元,吴德柱,王剑平..手助腹腔镜与开腹巨脾切除术对机体应激反应的影响[J].腹腔镜外科杂志,2012,17(8):564-566,3.基金项目
福建省莆田市科技厅基金资助项目[编号:2009 S 09(3-2)] （3-2）
