临床外科杂志 ›› 2019, Vol. 27 ›› Issue (7): 595-596.doi: 10.3969/j.issn.1005-6483.2019.07.017

• 论著 • 上一篇    下一篇

小切口行单纯巨脾切除术13例诊治体会

  

  1. 华中科技大学附属协和医院胰腺外科
  • 出版日期:2019-07-20 发布日期:2019-07-20

Experience of simple splenectomy with miniincision: a report of 13 cases

  • Online:2019-07-20 Published:2019-07-20

摘要: 目的:探究小切口行单纯巨脾切除术的可行性及安全性。方法:回顾分析了2016年4月~2017年12月我院完成的13例小切口行单纯巨脾切除术病人的临床资料。结果:13例病人平均脾切除手术时间40分钟,切口长度平均10cm,术中平均出血量200ml,术后平均住院时间10.5天。术后胰瘘、脾热、左侧胸腔积液各2例,其余均无脾切除相关的术后并发症,无手术死亡。结论:小切口性单纯巨脾切除术手术时间短、创伤小、安全可行,适用于多种脾脏疾病。

关键词: 小切口, 脾切除术

Abstract: Objective:To evaluate the feasibility and safety of simple splenectomy with miniincision.Methods:It reviewed the perioperative outcomes of 13 patients who received simple splenectomy with miniincision from April 2016 to December 2017.Results:The average hours of spelenectomy were 40min. The average length of incision was 10cm The average amount of bleeding during operation was 200ml and the average days of postoperative discharging were 10.5d. 2 patients were with postoperative pancreatic fistula, 2 patients were with postoperative splenopyretic and 2 pantents were with postoperative left pleural effusion. No complications or deaths directly resulted from the surgery happened in the rest patients.Conclusion:Simple splenectomy with miniincision is a new method of splenectomy with feature of less time consuming, minimal invasive, easy to popularize, safety and feasibility, which is suitable for various kinds of the spleen disease.

Key words: mini incision, splenectomy

[1] 赵思桥, 顾始伟, 马顺前, 高战鳌, 贾晓龙, 夏涛, 周文. 拇趾近节趾骨截骨术联合改良小切口第1跖骨截骨术治疗重度拇外翻[J]. 临床外科杂志, 2019, 27(6): 498-502.
[2] 唐银科, 姚文德, 裴蛟淼, 崔江波, 马显杰. 小切口腋下汗腺清除术的临床效果及相关因素分析[J]. 临床外科杂志, 2019, 27(6): 514-516.
[3] 阿力木江麦斯依提 克力木 阿扎提江. 腹腔镜下二级脾蒂离断法与内镜下切割吻合器脾切除术的对比分析[J]. 临床外科杂志, 2012, 20(3): 167-167.
[4] 吴火友 陈少全 王烈 翟亚楠. 小切口联合粘贴式负压冲吸器在直肠肛管周围脓肿治疗中的应用[J]. 临床外科杂志, 2011, 19(11): 754-754.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 冯勋强. 改良Devine治疗小儿隐匿性阴茎158例分析[J]. 临床外科杂志, 2016, 24(5): 379 -0 .
[2] 刘宝华. 便秘外科治疗应关注的问题 [J]. 临床外科杂志, 2016, 24(6): 409 .
[3] 张晓霞;张坤;何苗等. 肝脓肿合并腹主动脉夹层动脉瘤病人腹腔镜手术全身麻醉一例[J]. 临床外科杂志, 2017, 25(12): 958 .
[4] 高雪松;杨封慧;于春杰. 452例前列腺增生患者尿动力学检查的应用[J]. 临床外科杂志, 2017, 25(6): 463 .
[5] 姬乐 刘涛 白浪 高永涛. 腹腔镜远端胃癌D2根治术对老年进展期胃癌病人CEA、DDC及血清HIF1α、MACC1的影响[J]. 临床外科杂志, 2018, 26(10): 739 -743 .
[6] 任朋 张烨 陶建新 沈仁辉 王彤. 吲哚菁绿显像对减少腹腔镜结直肠癌根治术后吻合口漏的作用[J]. 临床外科杂志, 2018, 26(10): 754 -756 .
[7] 林海鹏 卢晓明 王莉霞 牛彦锋. 沉默信息调节因子7在胃癌组织的表达及其与胃癌临床病理的关系[J]. 临床外科杂志, 2018, 26(10): 744 -746 .
[8] 陶隆钦;朱文谋;涂刚. 30例男性乳腺癌的临床特征及预后相关因素分析[J]. 临床外科杂志, 2018, 26(2): 114 .
[9] 赵晋波;张晨曦;李小飞 . 非小细胞肺癌寡转移的外科治疗[J]. 临床外科杂志, 2018, 26(3): 165 .
[10] 李胜春. 腹腔镜胆囊切除术后早期非损伤性黄疸二例诊治体会[J]. 临床外科杂志, 2018, 26(8): 585 .