小切口行单纯巨脾切除术13例诊治体会

doi:10.3969/j.issn.1005-6483.2019.07.017

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

小切口行单纯巨脾切除术13例诊治体会

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/Abstract

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

殷涛, 魏若征, 周颖珂等. 小切口行单纯巨脾切除术13例诊治体会[J]. 临床外科杂志, 2019, 27(7): 595-596.

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小切口行单纯巨脾切除术13例诊治体会

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

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