CAJ | 학술논문

目的：对比完全腹腔镜脾切除加贲门周围血管离断术与传统开腹手术的短期治疗效果，并进一步探讨完全腹腔镜的优越性、可行性及手术技巧。方法：统计分析2008年1月-2012年12月陕西中医学院第一附属医院行完全腹腔镜脾切除加贲门周围血管离断术26例患者与同期开腹手术30例患者的临床资料。结果：腹腔镜组术中出血、术后排气、术后拔管、切口长度及住院时间明显少于对照组，而两组手术时间、术后并发症及住院费用比较差异无统计学意义。结论：全腹腔镜脾切除加贲门周围血管离断术治疗门脉高压症安全可行，较传统开腹手术，其具有损伤小、恢复快、伤口美观等优点，近期疗效明显优于开腹手术。
목적：대비완전복강경비절제가분문주위혈관리단술여전통개복수술적단기치료효과，병진일보탐토완전복강경적우월성、가행성급수술기교。방법：통계분석2008년1월-2012년12월협서중의학원제일부속의원행완전복강경비절제가분문주위혈관리단술26례환자여동기개복수술30례환자적림상자료。결과：복강경조술중출혈、술후배기、술후발관、절구장도급주원시간명현소우대조조，이량조수술시간、술후병발증급주원비용비교차이무통계학의의。결론：전복강경비절제가분문주위혈관리단술치료문맥고압증안전가행，교전통개복수술，기구유손상소、회복쾌、상구미관등우점，근기료효명현우우개복수술。
Objective:To compare the clinical effect of laparoscopic splenectomy combined with pericardial devascularization and open surgery and to explore the procedure,superiority and feasibility.Method:The clinical data of 26 cases of laparoscopic splenectomy combined with pericardial devascularization and 30 case of open surgery from the First Affiliated Hosptal of Shanxi University of Chinese Medicine from Jan 2008 to June 2012 was retrospecttively analyzed.Result:The intraoperaive blood loss,postoperative discharge,postoperative extubation,incision,and length of postoperative hospitalization were both obviously less in thelaparoscope group.However,the operativetime,postoperative complication and costof hospitalization were similarin both groups. Conclusion:The procedure of laparoscopic splenectomy combined with pericardial devascularization is feasible and safe, with premising therapeutic better and effect clinical effect than open surgery,there are several advantages such as minimalinvasion,fasterrecovery, beautifuloutlookandsoon.