Klinger P J, Smith S L, Abendstein B J, Hinder R A
Department of Surgery, Mayo Clinic Jacksonville, Florida 32224, USA.
Surg Laparosc Endosc. 1998 Feb;8(1):49-54.
A 56-year-old woman was found to have a solitary metastasis to the spleen from ovarian cancer. A hand-assisted laparoscopic splenectomy was carried out. The operative technique and advantages of this technique are discussed. Laparoscopy with mini laparotomy allows for manual manipulation of the spleen with the ability to control bleeding, and facilitates mobilization and removal of the specimen. Postoperative recovery is rapid. Review of the literature indicates that secondary metastasis to the spleen is quite common.
一名56岁女性被发现患有卵巢癌脾脏孤立性转移。实施了手辅助腹腔镜脾切除术。讨论了该手术技术及其优点。腹腔镜联合小切口剖腹术可对脾脏进行手动操作，能够控制出血，并便于标本的游离和切除。术后恢复迅速。文献回顾表明，脾脏继发性转移相当常见。
