Hashizume M, Sugimachi K, Kitano S, Shimada M, Baba H, Ueno K, Ohta M, Tomikawa M
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Am J Surg. 1994 Jun;167(6):611-4. doi: 10.1016/0002-9610(94)90109-0.
A technique for laparoscopic splenectomy is described. The patient is placed in the right semidecubitus position and pneumoperitoneum is prepared. The splenic artery and vein are exposed near the hilum, using a laparoscopic ultrasonic dissector. The larger vessels are doubly ligated, and the spleen is resected and maneuvered into a nylon surgical sack; the sack is removed through a 2-cm incision along the midaxillary line. This procedure has been used for four patients requiring splenectomy for benign disease, and the outcome has been entirely satisfactory for all concerned.
描述了一种腹腔镜脾切除术技术。患者取右侧半卧位并建立气腹。使用腹腔镜超声解剖器在脾门附近暴露脾动脉和脾静脉。较大的血管双重结扎，然后切除脾脏并将其放入尼龙手术袋中；通过沿腋中线的2厘米切口取出袋子。该手术已用于4例因良性疾病需要行脾切除术的患者，所有相关人员对结果都非常满意。
