中国实用外科杂志2016，Vol.36Issue(11)：1193-1196,4.DOI:10.7504/CJPS.ISSN1005-2208.2016.11.15
改良四步法腹腔镜巨脾切除联合贲门周围血管离断术临床效果研究
Clinical research of the“modified four-step”technique applied in laparoscopic splenectomy and pericardial devascularization
洪徳飞 1成剑 1张宇华 1吴伟顶 1张成武 1谢志杰 1刘杰 1沈国樑1
作者信息
- 1. 浙江省人民医院肝胆胰外科及微创外科，浙江杭州310014
- 折叠
摘要
Abstract
Objective To summarize effect and experience of the "modified four-step" technique applied in laparoscopic splenectomy and pericardial devascularization (LSPD). Methods The clinical data of 105 cases of LSPD conducted by the " modified four-step" technique between June 2012 and June 2015 in Department of Hepatobiliary Pancreatic and Micro-invasive Surgery,Zhejiang Provincial People’s Hospital were analyzed retrospectively. Results All cases were operated successfully. Among them, 2 cases (1.9%) were converted to open surgery and the rest 103 cases were conducted successfully under complete laparoscopy. Operative time was (175.6 ± 49.8) min and blood loss was (310.9 ± 240.9) mL. Postoperative complication included 1 case of abdominal bleeding,1 case of pancreatic leakage,2 cases of abdominal infection,2 cases of splenic vein thrombosis,3 cases of hepatic dysfunction. One case of liver dysfunction with hepatic encephalopathy gave up treatment and automatically discharged. Other cases were cured by conservative treatment. Postoperative hospital stay (8.7 ± 3.6)d. Two cases ocurred recurrece of GI bleeding after following 12—48 months. Conclusion The "modified four-step" technique in LSPD has high laparoscopic success rate,low rate of postoperative complications and the low rate of GI bleeding recurrence. It’s worthy of clinical promotion and application.关键词
腹腔镜/肝硬化/门静脉高压症/脾切除/贲门周围血管离断术Key words
laparoscopy/liver cirrhosis/portal hypertension/splenectomy/pericardial devascularization分类
医药卫生引用本文复制引用
洪徳飞,成剑,张宇华,吴伟顶,张成武,谢志杰,刘杰,沈国樑..改良四步法腹腔镜巨脾切除联合贲门周围血管离断术临床效果研究[J].中国实用外科杂志,2016,36(11):1193-1196,4.
