CAJ | 학술논문

目的探讨完全腹腔镜下脾切除联合贲门周围血管离断术的适应证和临床应用价值.方法分析对40例肝硬化门静脉高压症脾亢患者采用完全腹腔镜下脾切除联合贲门周围血管离断术的临床资料.结果本组中36例顺利完成完全腹腔镜下脾切除联合贲门周围血管离断术,4例中转开腹,平均手术时间(224±54)min,平均术中出血量(296±209)ml,无严重并发症.结论对门静脉高压脾亢患者选择性地采用完全腹腔镜下脾切除联合贲门周围血管离断术是一种可供选择的安全、有效的微创方法.
목적 탐토완전복강경하비절제연합분문주위혈관리단술적괄응증화림상응용개치.방법 분석대40례간경화문정맥고압증비항환자채용완전복강경하비절제연합분문주위혈관리단술적림상자료.결과 본조중36례순리완성완전복강경하비절제연합분문주위혈관리단술,4례중전개복,평균수술시간(224±54)min,평균술중출혈량(296±209)ml,무엄중병발증.결론 대문정맥고압비항환자선택성지채용완전복강경하비절제연합분문주위혈관리단술시일충가공선택적안전、유효적미창방법.
Objective To evaluate total laparoscopic splenectomy combined with pericardial devascularization. Methods In this study,40 patients with portal hypertension and hypersplenism underwent total laparoscopic splenectomy combined with pericardial devascularization,in which 26 cases had a history of up-GI bleeding. Results Procedures were successful in 36 patients.There was four conversions to open surgery.The operations were completed in a mean time of (224 ± 54) min,with a mean estimated blood loss of (296 ± 209) ml and with no serious complication. Conclusion Total laparoscopic splenectomy combined with pericardial devascularization is a safe and effective available minimally invasive procedure in patients with portal hypertension and hypersplenism.