腹腔镜脾切除术：140例连续病例的个人系列报道。
Laparoscopic splenectomy: a personal series of 140 consecutive cases.
作者信息
Pattenden Clare J, Mann Christopher D, Metcalfe Matthew S, Dyer Martin, Lloyd David M
机构信息
Department of Surgery, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, UK.
出版信息
Ann R Coll Surg Engl. 2010 Jul;92(5):398-402. doi: 10.1308/003588410X12664192076133. Epub 2010 May 19.
INTRODUCTION
Laparoscopic splenectomy has emerged as a safe and effective treatment for a variety of haematological conditions. The objective was to review the results from a large personal series from the perspective of outcomes according to operative time, conversion to open operation, complications and mortality. The application of laparoscopic splenectomy to cases of splenomegaly without hand assistance is examined.
PATIENTS AND METHODS
A retrospective review of 140 patients undergoing laparoscopic splenectomy at a single university hospital by one surgeon during 1994-2006. Case notes were reviewed and data collected on operative time, conversion to open procedure, morbidity and mortality. Particular reference was made towards the results of cases of splenomegaly.
RESULTS
In total 140 laparoscopic splenectomies were performed with a complication rate of 15% and no mortality. The median operative time was 100 min and conversion to open procedure was necessary in 2.1%. Conversion for cases of splenomegaly was only 5.7%. The median hospital stay was 3 days.
CONCLUSIONS
Laparoscopic splenectomy is a safe procedure with acceptable morbidity. A laparoscopic approach for splenomegaly is feasible.
引言
腹腔镜脾切除术已成为治疗多种血液系统疾病的一种安全有效的方法。目的是从手术时间、中转开腹手术、并发症和死亡率等结局角度回顾一系列大量个人病例的结果。研究腹腔镜脾切除术在无手辅助的脾肿大病例中的应用。
患者与方法
回顾性分析1994年至2006年期间一位外科医生在一家大学医院为140例患者实施腹腔镜脾切除术的情况。查阅病历并收集手术时间、中转开腹手术、发病率和死亡率等数据。特别提及脾肿大病例的结果。
结果
共进行了140例腹腔镜脾切除术，并发症发生率为15%，无死亡病例。中位手术时间为100分钟，中转开腹手术的比例为2.1%。脾肿大病例的中转率仅为5.7%。中位住院时间为3天。
结论
腹腔镜脾切除术是一种安全的手术，发病率可接受。腹腔镜治疗脾肿大是可行的。
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