Liboni A, Mari C, Feo C, Vasquez G, Pansini G, Zamboni P, Pisano L
Istituto di Chirurgia Generale, Università degli Studi di Ferrara.
Ann Ital Chir. 1994 Nov-Dec;65(6):707-9.
In selected cases the spleen can be removed:
2 women and 1 men with immune thrombocytopenic purpura, with hypersplenism without splenomegaly, underwent splenectomy by laparoscopic means.
In 2 cases the splenectomy has been performed entirely by laparoscopic means. In 1 case the operation has been converted as we have not been able to control a venous bleeding from injured hilar spleen vessels.
No particular technical problems arose in the 2 cases entirely conducted by laparoscopic means. Care must be taken manipulating the hilar vessels as the veins are fragile and their bleeding is difficult to be controlled in laparoscopy. The laparoscopic splenectomy seems to offer less postoperative pain, shorter hospitalization and improved cosmesis according to our previous experience with open splenectomy.
The good result of the operations encourages the laparoscopic approach to splenectomy, in selected cases.
在特定情况下可切除脾脏。
2名女性和1名男性患有免疫性血小板减少性紫癜，有脾功能亢进但无脾肿大，通过腹腔镜方式接受了脾切除术。
2例患者完全通过腹腔镜方式完成脾切除术。1例手术中转，因为我们无法控制受损脾门血管的静脉出血。
在完全通过腹腔镜方式进行的2例手术中未出现特殊技术问题。操作脾门血管时必须小心，因为静脉很脆弱，在腹腔镜手术中其出血难以控制。根据我们之前开放性脾切除术的经验，腹腔镜脾切除术似乎术后疼痛较轻、住院时间较短且美容效果更佳。
手术的良好结果鼓励在特定情况下采用腹腔镜方式进行脾切除术。
