局解手术学杂志2017，Vol.26Issue(5)：330-333,4.DOI:10.11659/jjssx.12E016015
脾下极入路脾蒂控制法在全腔镜脾切除术中的应用
A safe approach to splenic hilum through first mobilizing lower pole of spleen in laparoscopic splenectomy
何成 1刘作金1
作者信息
- 1. 重庆医科大学附属第二医院肝胆外科,重庆 400010
- 折叠
摘要
Abstract
Objective To discuss the surgical skills and clinical value of laparoscopic splenectomy with a safe approach to the splenic hilum through first mobilizing the lower pole of the spleen.Methods A total of 88 patients with hypersplenism secondary to liver cirrhosis who underwent laparoscopic splenectomy in our department from September 2015 to September 2016 were selected into this study.And these patients were divided into two groups based on whether to take the safe approach to the splenic hilum through first mobilizing the lower pole of the spleen in laparoscopic splenectomy.The control group included 40 cases who underwent the traditonal laparoscopic splenectomy,while the observation group included 48 cases who took the safe approach to the splenic hilum through first mobilizing the lower pole of the spleen in laparoscopic splenectomy.The clinical data were collected retrospectively by medical clinical records review.Results There was no mortality occurred in this study.The blood loss of the observation group was (247.50±135.89)mL,which was obviously lower than (361.75±144.43)mL of the control group,and the difference was statistically significant (P<0.05).The operation time of the two groups were (194.69±47.99)min and (232.75±45.26)min respectively,and the difference was statistically significant (P<0.05).No significant difference was found in terms of rate of conversion to laparotomy,rate of intraoperative blood transfusion,postoperative hospital stay and complications (P>0.05).Conclusion It is very crucial for a safe approach to the splenic hilum through first mobilizing the lower pole of the spleen to establish a tunnel behind the splenic hilum in laparoscopic splenectomy.It is safe and feasible to perform a safe approach to the splenic hilum through first mobilizing the lower pole of the spleen in laparoscopic splenectomy.The technique is generalized in clinics,especially for freshmen.关键词
腹腔镜/脾蒂控制/脾切除/手术入路Key words
laparoscopy/pedicle of spleen/splenectomy/operative approach分类
医药卫生引用本文复制引用
何成,刘作金..脾下极入路脾蒂控制法在全腔镜脾切除术中的应用[J].局解手术学杂志,2017,26(5):330-333,4.
