Vecchio Rosario, Intagliata Eva, Marchese Salvatore, La Corte Francesco, Cacciola Rossella Rosaria, Cacciola Emma
Department of Surgery, University of Catania, Italy.
Department of Surgery, University of Catania, Casella Postale 226, 96011 Augusta, Italy.
JSLS. 2014 Apr-Jun;18(2):252-7. doi: 10.4293/108680813X13693422518434.
The aim of this study was to evaluate the results of laparoscopic surgery performed for coexisting spleen and gallbladder surgical diseases.
Between May 2004 and October 2012, 12 patients underwent concomitant laparoscopic splenectomy and cholecystectomy. Indications for surgery included idiopathic thrombocytopenic purpura in 5 patients, hereditary spherocytosis in 4 patients, and thalassemia intermedia in 3 patients.
The mean operative time was 100 minutes (range, 80 -160 minutes), and the blood loss ranged from 0 to 150 mL (mean, 50 mL). The mean longitudinal diameter of the spleen was 14 cm. One patient required conversion to open procedure. An accessory spleen was detected and removed in one case. The mean length of hospital stay was 5 days. No deaths or other major intraoperative and/or postoperative complications occurred.
Provided that the technique is performed by an experienced surgical team, concomitant laparoscopic splenectomy and cholecystectomy is a safe and feasible procedure and may be considered for coexisting spleen and gallbladder diseases.
本研究旨在评估针对并存脾脏和胆囊外科疾病实施腹腔镜手术的结果。
2004年5月至2012年10月期间，12例患者接受了同期腹腔镜脾切除术和胆囊切除术。手术适应证包括5例特发性血小板减少性紫癜、4例遗传性球形红细胞增多症和3例中间型地中海贫血。
平均手术时间为100分钟（范围80 - 160分钟），失血量为0至150毫升（平均50毫升）。脾脏平均纵径为14厘米。1例患者需转为开放手术。1例发现并切除了副脾。平均住院时间为5天。未发生死亡或其他严重术中及/或术后并发症。
倘若由经验丰富的手术团队实施该技术，同期腹腔镜脾切除术和胆囊切除术是一种安全可行的手术方式，对于并存脾脏和胆囊疾病的情况可予以考虑。
