腹腔镜外科杂志2017，Vol.22Issue(2)：119-122,4.DOI:10.13499/j.cnki.fqjwkzz.2017.02.119
完全3D腹腔镜与开腹手术治疗门脉高压症的对比研究
Comparative study of total 3D laparoscopic and open surgery in the treatment of portal hypertension
杨帅帅 1李海玲 1武德旺 1张少杰 1郭英英 1孙作成2
作者信息
- 1. 潍坊医学院,山东 潍坊,261053
- 2. 潍坊市人民医院
- 折叠
摘要
Abstract
Objective:To explore the efficacy and feasibility of total 3D laparoscopic splenectomy and pericardial devasculariza-tion in the treatment of portal hypertension. Methods:From Jan. 2013 to Mar. 2016,43 patients underwent total 3D laparoscopic sple-nectomy and pericardial devascularization for portal hypertension,splenomegaly and esophageal and gastric fundus varices caused by cir-rhosis and 41 patients underwent laparotomy due to the same cause at the same time. The intraoperative and postoperative indexes of laparoscopic group and open group were compared and analyzed. Results:The operating time of the laparoscopic group was more than that of the laparotomy group (P<0. 05). The intraoperative blood loss,time to first postoperative flatus,hospital stay,length of incision, uses of analgesics of laparoscopic group were less than those of laparotomy group (P<0. 05). The incidence of peritoneal effusion and incision infection of the laparoscopic group was less than that of laparotomy group (P<0. 05). There were no significant differences in abdominal bleeding,pulmonary infection,pancreatic fistula,gastric fistula,portal vein thrombosis,perioperative mortality between the 2 groups (P>0. 05). Conclusions:Total 3D laparoscopic splenectomy and pericardial devascularization has the advantages of less blood loss during operation,faster postoperative recovery of gastrointestinal function,shorter hospital stay,and fewer incidence of postoperative complications. Total 3D laparoscopic surgery in the treatment of portal hypertension is safe,effective and feasible.关键词
高血压,门静脉/贲门周围血管离断术/脾切除术/腹腔镜检查/剖腹术/对比研究Key words
Hypertension/portal/Pericardial devascularization/Splenectomy/Laparoscopy/Laparotomy/Comparative study分类
医药卫生引用本文复制引用
杨帅帅,李海玲,武德旺,张少杰,郭英英,孙作成..完全3D腹腔镜与开腹手术治疗门脉高压症的对比研究[J].腹腔镜外科杂志,2017,22(2):119-122,4.
