手助腹腔镜门脉高压症的脾切除和门奇静脉断流术(英文)

被引：16

作者：

张雪峰

吴国强

金红旭

李瑾

蒋会勇

宗修锟

机构：

[1] 沈阳军区总医院普通外科

[2] 沈阳军区总医院普通外科辽宁沈阳

[3] 辽宁沈阳

来源：

中国内镜杂志 | 2005年 / 08期

关键词：

腹腔镜; 脾切除术; 门奇断流术; 肝硬化;

D O I：

暂无

中图分类号：

R657.3 [肝及肝管];

学科分类号：

1002 ; 100210 ;

摘要：

目的探讨手助腹腔镜脾切除门奇断流术的手术技术。方法用手助腹腔镜完成18例脾切除门奇断流术。结果18例手术全部成功。手术时间150～260min,平均180min。术中出血200～2000mL,平均540mL。切除脾重500～2000g,平均910g。住院时间8～18d,平均9.7d。术后病人恢复顺利,疼痛少,5例术后用止痛剂,24～74h排气,平均52h。手助切口愈合良好,1例出现并发症,1例术后因肝功能衰竭死亡。结论手助腹腔镜行脾切除门奇断流术不但安全可行,而且具有微创手术的优点,疗效满意。

引用

页码：785 / 788+791 +791

页数：5

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