CAJ | 학술논문

目的：探讨腹腔镜脾切除联合贲门周围血管离断术的手术技巧及应用价值。方法选择2013年5月～2014年8月在我院接受腹腔镜下脾切除联合贲门周围血管离断术治疗的8例肝硬化门静脉高压症脾亢患者的临床治疗资料进行回顾性分析。结果6例患者的手术均顺利完成，2例转开腹，患者手术平均时间为（223.1±42.4）min，术中平均出血量为（259.4±23.8）ml，无1例患者发生严重并发症。结论腹腔镜脾切除联合贲门周围血管离断术为一种安全有效的微创治疗方法。
목적：탐토복강경비절제연합분문주위혈관리단술적수술기교급응용개치。방법선택2013년5월～2014년8월재아원접수복강경하비절제연합분문주위혈관리단술치료적8례간경화문정맥고압증비항환자적림상치료자료진행회고성분석。결과6례환자적수술균순리완성，2례전개복，환자수술평균시간위（223.1±42.4）min，술중평균출혈량위（259.4±23.8）ml，무1례환자발생엄중병발증。결론복강경비절제연합분문주위혈관리단술위일충안전유효적미창치료방법。
Objective To explore the value of vascular surgical techniques and amputation of laparoscopic splenectomy combine with pericardial. Methods Selected 8 cases with portal hypertension adopt laparoscopic splenectomy combined pericardial blood vessel breaking from May 2013 to 2014 August in our hospital, retrospectively analyzed the clinical data. Results 6 patients were successfully completed surgery, 2 cases of conversion to open, the average time for surgery patients (223.1±42.4) min, mean intraoperative blood loss was (259.4±23.8) ml, no serious complications occurred in 1 patient. Conclusion Laparoscopic splenectomy combined with pericardial devascularization surgery is a safe and effective minimally invasive treatment methods.