腹腔镜治疗创伤后脾囊肿：两例病例报告
Post-traumatic splenic cysts treated with laparoscopy: two case reports.
作者信息
Avgerinos Dimitrios V, Kyriakopoulos Christos E, Konstantinopoulou Sophia, Gourgari Evgenia, Lioutas Vasileios
机构信息
Department of Surgery, Beth Israel Medical Center, Albert Einstein College of Medicine, First Avenue at 16th Street, New York, USA.
出版信息
Cases J. 2009 Jul 24;2:7976. doi: 10.4076/1757-1626-2-7976.
INTRODUCTION
Today, laparoscopy tends to become a useful alternative to open procedure for the surgical treatment of spleen disorders, offering at the same time a conservative approach for the management of selected spleen lesions such as posttraumatic cysts.
CASE PRESENTATION
This article describes two cases of posttraumatic splenic cysts, one of which was treated with laparoscopic total splenectomy and the second with laparoscopic cystectomy. The procedure was carried out successfully with no complications in both cases, and the patients were discharged a few days after the operation.
CONCLUSION
Laparoscopy with preservation of functional splenic parenchyma, when feasible, should be the procedure of choice in cases of posttraumatic splenic cysts, as it provides safe and definite treatment with all of the other advantages of minimally invasive surgery.
引言
如今，腹腔镜手术往往成为脾脏疾病外科治疗中开放性手术的一种有用替代方法，同时为诸如创伤后囊肿等特定脾脏病变的处理提供了一种保守方法。
病例报告
本文描述了两例创伤后脾囊肿病例，其中一例接受了腹腔镜全脾切除术，另一例接受了腹腔镜囊肿切除术。两例手术均成功实施，无并发症发生，患者术后数天出院。
结论
在可行的情况下，保留功能性脾实质的腹腔镜手术应成为创伤后脾囊肿病例的首选手术方式，因为它能提供安全、确切的治疗，同时具备微创手术的所有其他优点。
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