CAJ | 학술논문

目的：探讨双镜联合治疗门脉高压的可行性。方法对15例门脉高压患者行腹腔镜下完成脾切除、门奇断流术，同时应用胃镜直视下缝合结扎胃底曲张静脉血管。结果15例均顺利完成手术。手术时间1.5~2.3（1.62±0.78）h，术中出血10~210（82.57±63.53）ml，术后未发生并发症。术后住院10~15 d。术后随访14例（93.3%），失访1例，随访9~36（12.3±7.8）个月，1例于术后12个月因其他疾病死亡，其他患者随访期间未见再出血。结论结合手助腹腔镜脾切除、贲门周围血管离断的微创优点，同时结合胃镜的显示与透光作用，取长补短，确切、有效地处理胃底曲张静脉，是值得推广的微创手术方法。
목적：탐토쌍경연합치료문맥고압적가행성。방법대15례문맥고압환자행복강경하완성비절제、문기단류술，동시응용위경직시하봉합결찰위저곡장정맥혈관。결과15례균순리완성수술。수술시간1.5~2.3（1.62±0.78）h，술중출혈10~210（82.57±63.53）ml，술후미발생병발증。술후주원10~15 d。술후수방14례（93.3%），실방1례，수방9~36（12.3±7.8）개월，1례우술후12개월인기타질병사망，기타환자수방기간미견재출혈。결론결합수조복강경비절제、분문주위혈관리단적미창우점，동시결합위경적현시여투광작용，취장보단，학절、유효지처리위저곡장정맥，시치득추엄적미창수술방법。
Objective To discuss the feasibility of the laparoscopy combined gastroscopy which are used in the treatment of portal hypertension. Methods 15 cases of portal hypertension patients were treated by hand-assisted laparoscopic splenectomy, portal azygous vein disconnection, At the same time, with the application of gastroscopy to displayed directly to suture and ligation gastric varicose veins of the fundus of stomach. Results 15 cases were successfully completed surgery. The operation time 1.5~2.3 (1.62±0.78)h, hemorrhage during operation 10 ~210 (82.57 ±63.53)ml, No postoperative complications. Postoperative hospitalization 10~15 days. Postoperative follow-up of 14 cases (93.3%), 1 case was lost to follow-up, Follow-up of 9-36 (12.3±7.8) months, 1 case died after 12 months because of other disease, other patients didn’t rebleeding during the follow -up period.Conclusions The advantages of hand -assisted laparoscopic splenectomy and cardiac peripheral vascular transection, combined with gastroscopy displayed directly and light transparent effect each other, exactly, effectively to deal with esophagogastric varices. The laparoscopy combined gastroscopy for the treatment of portal hypertension are worth promoting.