Nomura H, Haji S, Kuroda D, Yasuda K, Ohyanagi H, Kudo M
Department of Surgery II, Kinki University School of Medicine, Osaka, Japan.
Surg Laparosc Endosc Percutan Tech. 2000 Oct;10(5):332-4.
Wandering spleen is a rare entity with a constant danger of splenic torsion leading to splenomegaly and infarction, which requires surgery. The authors describe a 30-year-old woman with intermittent left hypochondralgia and back pain with wandering spleen, who was successfully treated with a new method of laparoscopic splenopexy. In this procedure, two sheets of absorbable knitted mesh were used to sandwich the detorsed spleen. The procedure is feasible and less invasive, without impaired splenic function, and is applicable even for adult splenomegalic wandering spleen.
游走脾是一种罕见病症，存在脾扭转导致脾肿大和梗死的持续风险，这需要进行手术。作者描述了一名30岁患有游走脾且伴有间歇性左季肋部疼痛和背痛的女性，她通过一种新的腹腔镜脾固定术方法得到了成功治疗。在该手术中，使用两片可吸收编织网将扭转复位的脾脏夹在中间。该手术可行且侵入性较小，不会损害脾功能，甚至适用于成人脾肿大的游走脾。
