LAPAROSCOPIC SPLENECTOMY

被引：72

作者：

PHILLIPS, EH ^{[1
]}

CARROLL, BJ ^{[1
]}

FALLAS, MJ ^{[1
]}

机构：

[1] CEDARS SINAI MED CTR,DEPT SURG,LOS ANGELES,CA 90048

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 08期

关键词：

SPLEEN; SPLENECTOMY; LAPAROSCOPY;

D O I：

10.1007/BF00843476

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Laparoscopic splenectomy was attempted in 16 patients and was performed successfully in 13 (81%) patients with the diagnosis of idiopathic thrombocytopenic purpura (ITP), AIDS-related thrombocytopenia, Hodgkin's disease, or lymphoma. The operative time averaged 157 min, and autologous transfusion was required in four patients. The postsurgical stay averaged 3 days in patients with completely laparoscopic splenectomies and 4 days in patients whose spleens were removed through small counterincisions. No major complications secondary to the procedure itself occurred postoperatively. Conversion to open operation was necessary in three (19%) patients because of bleeding or splenomegaly. With careful selection of patients and mastery of the technique, laparoscopic splenectomy can be safely performed on normal or slightly enlarged spleens. The advantages are less pain, shorter hospitalization, and reduced disability as compared to ''open'' splenectomy.

引用

页码：931 / 933

页数：3

共 11 条

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[10]

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