腹腔镜辅助巨脾切除术。早期脾门去血管化技术的初步报告。
Laparoscopically assisted massive splenectomy. A preliminary report of the technique of early hilar devascularization.
作者信息
Nicholson I A, Falk G L, Mulligan S C
机构信息
Department of Surgery and Haematology, Repatriation General Hospital, Sydney, New South Wales, Australia.
出版信息
Surg Endosc. 1998 Jan;12(1):73-5. doi: 10.1007/s004649900598.
Laparoscopic splenectomy has been safely performed for small spleens, but technical limitations have prevented massive splenectomy. We describe a technique of early hilar devascularization to enable massive splenectomy in three patients over the age of 80 years. Massive splenectomy was performed with minimal blood loss and minor morbidity. Early laparoscopic control of the splenic artery and vein will enable the safe removal of the massive spleen, without major laparotomy. Morbidity of splenectomy may be reduced by laparoscopy.
腹腔镜脾切除术已安全应用于小脾脏，但技术限制使其无法用于巨脾切除。我们描述了一种早期脾门去血管化技术，用于为3例80岁以上患者实施巨脾切除术。实施巨脾切除术时失血极少且并发症轻微。早期通过腹腔镜控制脾动脉和静脉，可在无需大剖腹手术的情况下安全切除巨脾。腹腔镜手术可降低脾切除术的并发症发生率。
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