Parent S, Bresler L, Tortuyaux J M, Boissel P, Lederlin P, Guerci A
CHU de Nancy, Vandceuvre-Les-Nancy.
Ann Chir. 1995;49(6):477-81.
Laparoscopic splenectomy has been extensively developed since its first description by Delaître in 1991. From May 1993 to July 1994, 12 patients underwent laparoscopic splenectomy in the "service de Chirurgie C" of the "CHU de Nancy". Six of them were successful. 6 women with a mean age of 27.7 years. The mean operating time was 2 h 30 min. For all cases, the indication was idiopathic thrombocytopenic purpura. No mortality and no morbidity was reported. One patient needed a blood transfusion. The postoperative stay ranged from 3 to 7 days. Splenectomy appears to be another procedure that may be successfully performed under laparoscopic guidance with satisfactory conditions of safety. The outcome evaluation should be continued in order to accurately define the real advantages and risks of this new technique.
自1991年德莱特尔首次描述腹腔镜脾切除术以来，该手术得到了广泛发展。1993年5月至1994年7月，12例患者在南锡大学中心医院“C外科”接受了腹腔镜脾切除术。其中6例手术成功。6名女性，平均年龄27.7岁。平均手术时间为2小时30分钟。所有病例的手术指征均为特发性血小板减少性紫癜。未报告有死亡和并发症。1例患者需要输血。术后住院时间为3至7天。脾切除术似乎是另一种可以在腹腔镜引导下成功进行且安全性令人满意的手术。应继续进行结果评估，以便准确界定这项新技术的真正优势和风险。
