摘要
目的:探讨腹腔镜下脾切除联合贲门周围血管离断术治疗肝硬化门静脉高压症的临床疗效及安全性。方法:回顾性分析74例患者临床资料,随机分为两个手术组,腔镜组(40例)接受完全腹腔镜下脾切除加断流术,开腹组(34例)同期进行开腹手术,比较两组围手术期疗效。结果:腹腔镜组38例手术成功,2例中转,开腹组手术均成功,两组比较,腔镜组在术中失血、术后疼痛、卧床时间、排气时间、术后并发症、术后住院天数、术后肝功能恢复等方面具有明显优势,两组在手术时间方面无明显差异。全组无大出血、肝功能衰竭等严重并发症。结论:腹腔镜脾切除联合贲门周围血管离断术治疗肝硬化门静脉高压症是疗效确切、安全可行的,其近期疗效明显优于开腹,值得临床推广。
Objective:To investigate the safety and efficacy of operational technique of laparoscopic splenectomy and pericardial devascularization for the treatment of portal hepertension.Methods:A retrospective analysis 74 cases were made and two groups were involved randomized,the experimental group 40 patients received laparoscopic operation of splenectomy plus pericardial devascularization for portal hypertension and the control group were with open operation 34 cases.We compare the safety and clinical result of the two procedures.Result:There were 38 cases of successful operatioin and 2cases of failure operation(conversion cases)in laparoscopic group and 34cases(all the open surgery)were successful in control group.The bleeding volume,postoperative Pain,in-bed time,time of exsufflation,complications,hospitalization and recovery of the liver function after operation in laparoscopic group were superior than those in open and the operation time showed no significant differences in comparison of groups.Conclusion:Laparoscopic splenectomy combined with pericardial devascularization for portal hypertension has advantages of definite clinical effec,safety and feasibility,good short term effec and worth to be popularized and applied.
出处
《健康之路》
2017年第3期12-12,共1页
Health Way
