Adham M, Blanc P, Douek P, Henri L, Ducerf C, Baulieux J
Department of General and Gastrointestinal Surgery and Liver Transplantation, Croix Rousse Hospital, 103, Gde rue de la Croix Rousse, 69317 Lyon, France.
Surg Endosc. 2000 Apr;14(4):372. doi: 10.1007/s004640010051.
The usual treatment for splenic artery aneurysm is resection under laparotomy. In recent years, the laparoscopic approach has consisted of ligation without resection. More recently,laparoscopic resection was reported by the Cleveland Clinic. In this paper, we describe the technique used in the laparoscopic resection of our first case of laparoscopic resection of splenic artery aneurysm (SAA). The patient was a young woman with a 12-mm SAA discovered on systematic abdominal ultrasound. The laparoscopic procedure was done successfully, and the aneurysm was resected using an ultrasonic dissector. The postoperative course was uneventful, and the patient was discharged on the 3rd postoperative day. Pathological examination revealed the atherosclerotic origin of the aneurysm. The patient is doing well 12 months after surgery, with normal splanchnic Doppler ultrasound. This procedure offers a one-step definitive cure via a minimally invasive surgical procedure.
脾动脉动脉瘤的常规治疗方法是开腹手术切除。近年来，腹腔镜手术方式包括不切除的结扎术。最近，克利夫兰诊所报道了腹腔镜切除术。在本文中，我们描述了首例腹腔镜脾动脉动脉瘤（SAA）切除术所采用的技术。患者为一名年轻女性，在系统性腹部超声检查中发现一个12毫米的SAA。腹腔镜手术顺利完成，使用超声刀切除了动脉瘤。术后过程平稳，患者于术后第3天出院。病理检查显示动脉瘤起源于动脉粥样硬化。术后12个月患者情况良好，内脏多普勒超声检查正常。该手术通过微创外科手术提供了一步到位的根治方法。
