Yamashita H, Ohuchida J, Shimura H, Aibe H, Honda H, Kuroki S, Chijiiwa K, Tanaka M
Department of Surgery 1, Kyushu University Faculty of Medicine, Fukuoka, Japan.
Surg Laparosc Endosc. 1996 Aug;6(4):326-9.
Laparoscopic splenectomy often involves difficulties in patients with splenomegaly because of a poor visual field and distorted and enlarged vessels secondary to the enlarged spleen. For safe and efficient laparoscopic splenectomy, we performed balloon occlusion of the splenic artery with the interventional angiographic technique in a patient with hereditary spherocytosis and splenomegaly. This new approach may be useful in terms of safety and time savings, especially in patients with splenomegaly.
由于视野不佳以及脾脏肿大导致血管扭曲和增粗,腹腔镜脾切除术在脾肿大患者中常常存在困难。为了安全有效地进行腹腔镜脾切除术,我们对一名患有遗传性球形红细胞增多症和脾肿大的患者采用介入血管造影技术进行了脾动脉球囊闭塞术。这种新方法在安全性和节省时间方面可能是有用的,尤其是在脾肿大患者中。