Trelles Nelson, Gagner Michel, Pomp Alfons, Parikh Manish
Department of Surgery, Mount Sinai Medical Center, Miami Beach, Florida 33140, USA.
J Laparoendosc Adv Surg Tech A. 2008 Jun;18(3):391-5. doi: 10.1089/lap.2007.0113.
A 37-year-old man was referred for massive splenomegaly. In November 2005, he was diagnosed with non-Hodgkin's B-cell lymphoma in the setting of splenomegaly and thrombocytopenia. His laboratory results showed a coagulopathy owing to lupus anticoagulant. A computed tomography scan showed a 36 x 26 x 11 cm spleen and a prominent and sinuous splenic artery. The authors performed a laparoscopic splenectomy with an initial ligation of the splenic artery. The patient tolerated the procedure well and was discharged home on the fourth postoperative day in stable condition. Discussed in this paper is the safety and feasibility of the minimally invasive approach in massive splenomegaly.
一名37岁男性因巨脾症前来就诊。2005年11月，他在患有脾肿大和血小板减少症的情况下被诊断为非霍奇金B细胞淋巴瘤。他的实验室检查结果显示因狼疮抗凝物导致凝血功能障碍。计算机断层扫描显示脾脏大小为36×26×11厘米，脾动脉明显且迂曲。作者进行了腹腔镜脾切除术，首先结扎脾动脉。患者对手术耐受性良好，术后第四天病情稳定出院回家。本文讨论了微创方法治疗巨脾症的安全性和可行性。
