Tsugawa K, Hashizume M, Tomikawa M, Tanoue K, Migou S, Sugimachi K
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Hepatogastroenterology. 1999 Jul-Aug;46(28):2631-4.
Two cases undergoing a laparoscopic splenectomy for the treatment of a splenic artery aneurysm are herein reported. This lesion is relatively rare. Surgical treatment is indicated for such cases since approximately 10% of these aneurysms tend to rupture which thus results in fatal hemorrhaging. Both cases demonstrated aneurysms measuring more than 2 cm in diameter based on the ultrasonography, computed tomography and celiac angiography findings and, as a result, a laparoscopic splenectomy was thus prophylactically performed. This procedure is the preferred technique for high risk patients, such as those with chronic renal failure, as observed in case 1, since patients can be spared the disadvantages of undergoing a laparotomy.
本文报告了两例因脾动脉瘤接受腹腔镜脾切除术的病例。这种病变相对罕见。由于这些动脉瘤中约10%有破裂倾向，从而导致致命性出血，因此这类病例需要进行手术治疗。根据超声、计算机断层扫描和腹腔动脉造影结果，两例均显示动脉瘤直径超过2 cm，因此预防性地实施了腹腔镜脾切除术。正如病例1所示，对于高危患者，如慢性肾衰竭患者，该手术是首选技术，因为患者可避免开腹手术的弊端。
