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腹腔镜脾切除术治疗脾血管瘤

Laparoscopic splenectomy for haemangioma of the spleen.

作者信息

Shinde Jaisingh, Pandit Subodh, Kolte Sanjay, Singh Sudeekshna Pratap

机构信息

Department of General, Laparoscopic and Endoscopic Surgery, Surya Hospital Pvt. Ltd. and Sahyadri Speciality Hospital, Pune, Maharashtra, India.

出版信息

J Minim Access Surg. 2014 Jan;10(1):42-4. doi: 10.4103/0972-9941.124475.

DOI:10.4103/0972-9941.124475
PMID:24501510
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3902560/
Abstract

Splenic haemangioma is a rare disorder but remains the most common benign neoplasm of the spleen. It accounts for 0.1 to 14% of many large autopsy series. Most haemangiomas tend to be discovered in adults in the age group 30-50 years. In 80% of cases splenic haemangioma is usually found incidentally. Spontaneous rupture has been reported to occur in as many as 25% of these patients especially when the diameter of the tumour is more than 4 cm necessitating splenectomy as the only modality of treatment. We report a case of splenic haemangioma in a 23-year female. Laparoscopic splenectomy was undertaken and spleen removed through a small left inguinal hand port incision. Post-operative period was uneventful and histopathological examination report showed splenic haemangioma. She remains well three years post-operative.

摘要

脾血管瘤是一种罕见的疾病,但仍是脾脏最常见的良性肿瘤。在许多大型尸检系列中,其占比为0.1%至14%。大多数血管瘤往往在30至50岁的成年人中被发现。在80%的病例中,脾血管瘤通常是偶然发现的。据报道,多达25%的此类患者会发生自发性破裂,尤其是当肿瘤直径超过4厘米时,这使得脾切除术成为唯一的治疗方式。我们报告一例23岁女性的脾血管瘤病例。进行了腹腔镜脾切除术,通过左腹股沟一个小的手部切口将脾脏切除。术后过程顺利,组织病理学检查报告显示为脾血管瘤。术后三年她状况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e53/3902560/dfb067d40eab/JMAS-10-42-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e53/3902560/13c7fb4f3d34/JMAS-10-42-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e53/3902560/dfb067d40eab/JMAS-10-42-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e53/3902560/13c7fb4f3d34/JMAS-10-42-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e53/3902560/dfb067d40eab/JMAS-10-42-g002.jpg

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引用本文的文献

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2
Giant splenic hemangioma in a 10-year-old boy treated with a spleen saving surgery.一名10岁男孩的巨大脾脏血管瘤采用保脾手术治疗。
J Surg Case Rep. 2017 Nov 7;2017(11):rjx217. doi: 10.1093/jscr/rjx217. eCollection 2017 Nov.

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