临床外科杂志
臨床外科雜誌
림상외과잡지
JOURNAL OF CLINICAL SURGERY
2014年
6期
428-429,430
,共3页
张林菲%蔡庆和%程彩涛%曾天才%涂华
張林菲%蔡慶和%程綵濤%曾天纔%塗華
장림비%채경화%정채도%증천재%도화
完全腹腔镜下脾切除,贲门周围血管离断术%门静脉高压症
完全腹腔鏡下脾切除,賁門週圍血管離斷術%門靜脈高壓癥
완전복강경하비절제,분문주위혈관리단술%문정맥고압증
total laparoscopic splenectomy combined and pericardial devascularization%portal hypertension
目的:探讨完全腹腔镜下脾切除、贲门周围血管离断术治疗门静脉高压症的安全性与可行性。方法对30例完全腹腔镜下脾切除、贲门周围血管离断术与30例开腹脾切除、贲门周围血管离断术的临床资料进行对比研究。结果完全腹腔镜下脾切除、贲门周围血管离断术在住院时间、住院费用、手术出血量、肠道功能恢复时间、术后并发症等方面优于开腹脾切除、贲门周围血管离断术。结论完全腹腔镜下脾切除、贲门周围血管离断术是安全可行的。
目的:探討完全腹腔鏡下脾切除、賁門週圍血管離斷術治療門靜脈高壓癥的安全性與可行性。方法對30例完全腹腔鏡下脾切除、賁門週圍血管離斷術與30例開腹脾切除、賁門週圍血管離斷術的臨床資料進行對比研究。結果完全腹腔鏡下脾切除、賁門週圍血管離斷術在住院時間、住院費用、手術齣血量、腸道功能恢複時間、術後併髮癥等方麵優于開腹脾切除、賁門週圍血管離斷術。結論完全腹腔鏡下脾切除、賁門週圍血管離斷術是安全可行的。
목적:탐토완전복강경하비절제、분문주위혈관리단술치료문정맥고압증적안전성여가행성。방법대30례완전복강경하비절제、분문주위혈관리단술여30례개복비절제、분문주위혈관리단술적림상자료진행대비연구。결과완전복강경하비절제、분문주위혈관리단술재주원시간、주원비용、수술출혈량、장도공능회복시간、술후병발증등방면우우개복비절제、분문주위혈관리단술。결론완전복강경하비절제、분문주위혈관리단술시안전가행적。
Objective To explore the safety and feasibility of total laparoscopic splenectomy plus pericardial devascularization for portal hypertension.Methods The clinical data of 30 cases of total lapa-roscopic splenectomy plus pericardial devascularization and 30 cases of open surgery were compared.Re-sults Total laparoscopic splenectomy plus pericardial devascularization is better than open surgery in hos-pital stay,hospitalization cost,operation time,intraoperative bleeding,postoperative intestinal function re-covery and postoperative complications.Conclusion Total laparoscopic splenectomy plus pericardial de-vascularization is safe and feasible.