Delaitre B, Maignien B
Hopital Cochin, Clinique Chirurgicale, Paris, France.
Surg Endosc. 1992 Nov-Dec;6(6):305-8. doi: 10.1007/BF02498866.
Since the recent development of endoscopic cholecystectomy various other digestive disorders have been treated endoscopically. Using the endo-GIA stapler the authors report a case of laparoscopic splenectomy. Five trocar sheaths were used. Once detached, the spleen was cut into fragments in a plastic bag intraabdominally, which allowed its removal. Splenectomy was performed for a girl who had an autoimmune thrombocytopenic purpura (ITP). No operative transfusion was required. The patient was discharged after an uncomplicated postoperative recovery. The cosmetic result is good.
自从最近内镜胆囊切除术发展以来,各种其他消化系统疾病也已通过内镜进行治疗。作者报告了一例使用endo-GIA吻合器进行腹腔镜脾切除术的病例。使用了五个套管针鞘。脾脏一旦游离,就在腹腔内的塑料袋中切成碎片,以便将其取出。为一名患有自身免疫性血小板减少性紫癜(ITP)的女孩实施了脾切除术。无需术中输血。患者术后恢复顺利,随后出院。美容效果良好。