Carroll B J, Phillips E H, Semel C J, Fallas M, Morgenstern L
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048.
Surg Endosc. 1992 Jul-Aug;6(4):183-5. doi: 10.1007/BF02210877.
Splenectomy has traditionally been done through a generous laparotomy incision, requiring complete mobilization of the spleen for removal. In selected cases, however, splenectomy may either be facilitated or performed entirely by laparoscopic means. Two patients with Hodgkin's disease in whom splenectomy was facilitated laparoscopically are described; in another patient with idiopathic thrombocytopenic purpura (ITP), the splenectomy was successfully performed through the trocar incisions. In selected cases, laparoscopic splenectomy is feasible, provided the laparoscopist is expert in advanced techniques of intraabdominal endoscopic surgery.
传统上，脾切除术是通过一个较大的剖腹手术切口进行的，需要将脾脏完全游离后切除。然而，在某些特定情况下，脾切除术可以通过腹腔镜手段辅助完成或完全通过腹腔镜进行。本文描述了两名通过腹腔镜辅助完成脾切除术的霍奇金病患者；在另一名患有特发性血小板减少性紫癜（ITP）的患者中，通过套管针切口成功完成了脾切除术。在特定情况下，只要腹腔镜手术医生精通腹腔内内镜手术的先进技术，腹腔镜脾切除术就是可行的。
