在腹腔镜下切除超大脾脏时使用纳森森牵开器。
Use of Nathanson retractor during laparoscopic splenectomy for supermassive spleens.
作者信息
Bhandarkar Deepraj, Katara Avinash, Mittal Gaurav, Udwadia Tehemton E
机构信息
Department of Minimal Access Surgery, Hinduja Hospital, Veer Savarkar Marg, Mahim, Mumbai, India.
出版信息
Surg Laparosc Endosc Percutan Tech. 2011 Oct;21(5):e232-4. doi: 10.1097/SLE.0b013e31822974db.
BACKGROUND
Although feasibility of laparoscopic splenectomy for supermassive spleens has been described, obtaining uniform and uninterrupted retraction of a heavy spleen to ensure safe hilar dissection is challenging. We describe a technique of retraction of supermassive spleens using a Nathanson retractor.
METHODS
This technique was used in 4 patients, and the demographic data as well as data related to the surgery were retrospectively collected.
RESULTS
The spleens weighed between 2.5 and 3.5 kg. The median operative time was 190 minutes (155-220 min) and the median intraoperative blood loss was 870 mL (600-1230 mL). The postoperative hospital stay ranged from 3 to 5 days.
CONCLUSIONS
A Nathanson retractor provides sustained retraction of a supermassive spleen during laparoscopic splenectomy and this technique should be considered a useful adjunct to the armamentarium of surgeons undertaking these challenging procedures.
背景
尽管已有文献报道腹腔镜脾切除术用于治疗超大脾脏的可行性，但要实现对巨大脾脏的均匀且持续牵拉以确保安全的脾门解剖颇具挑战性。我们描述一种使用纳森森牵开器牵拉超大脾脏的技术。
方法
该技术应用于4例患者，并回顾性收集了人口统计学数据以及与手术相关的数据。
结果
脾脏重量在2.5至3.5千克之间。中位手术时间为190分钟（155 - 220分钟），中位术中失血量为870毫升（600 - 1230毫升）。术后住院时间为3至5天。
结论
在腹腔镜脾切除术中，纳森森牵开器可对超大脾脏提供持续牵拉，该技术应被视为进行这些具有挑战性手术的外科医生手术器械库中的一项有用辅助技术。
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