Kanyári Zsolt, Kincses Zsolt, Orosz László, Juhász Balázs, Tanyi Miklós, Lukács Géza, Damjanovich László
Debreceni Egyetem Orvos- és Egészségtudományi Centrum, I. Sebészeti Klinika
Magy Seb. 2006 Feb;59(1):7-11.
Parallel with the evolution of minimally invasive techniques more and more organs became the subject of different laparoscopic operations. The spleen was not an exception to this trend, the first laparoscopic splenectomy was performed in 1991. In the present publication the authors give an overview of their own initial experience with the technique. Between the time period of January 1996 and April 2005, 204 splenectomies were carried out at the 1st Dept. of Surgery, University of Debrecen. The indication was haematological in 113 cases, the choice of operation was laparoscopic splenectomy in 18 cases. The male-female ratio was 7 to 11, the mean age was 45.6 years (21-71). The average operation time lasted 106 minutes (60-200 min.), the mean hospital stay was 11.9 days (5-50 days). Laparoscopy had to be converted to open procedure in three cases, because of bleeding and adhesions. In one case, laparoscopic reoperation was necessary with the indication of subphrenic haematoma on the fifth postoperative day. One death occurred in this series from bilateral pneumonia. The authors conclude that laparoscopic splenectomy can be carried out safely, blood loss is limited, and the widely recognized advantages of laparoscopic techniques can be secured for the patients.
随着微创技术的发展，越来越多的器官成为不同腹腔镜手术的对象。脾脏也不例外，1991年进行了首例腹腔镜脾切除术。在本出版物中，作者概述了他们自己在该技术方面的初步经验。在1996年1月至2005年4月期间，德布勒森大学第一外科进行了204例脾切除术。其中113例的手术指征为血液系统疾病，18例选择了腹腔镜脾切除术。男女比例为7比11，平均年龄为45.6岁（21 - 71岁）。平均手术时间持续106分钟（60 - 200分钟），平均住院时间为11.9天（5 - 50天）。由于出血和粘连，有3例腹腔镜手术不得不转为开放手术。在1例中，术后第5天因膈下血肿需要进行腹腔镜再次手术。该系列中有1例因双侧肺炎死亡。作者得出结论，腹腔镜脾切除术可以安全进行，失血有限，并且可以为患者确保腹腔镜技术广泛认可的优势。
