Laparoscopic Resection of Splenomegaly for Hereditary Spherocytosis (Report of 18 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

吴钧 , 张平 , 王蒙 , 杜晓宏

Corresponding author：

Keywords：

遗传性球形红细胞增多症; 腹腔镜脾切除术; 治疗; 二级脾蒂Ligasure两步离断

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的探讨腹腔镜脾切除术治疗遗传性球形红细胞增多症的可行性、手术技巧及效果评价。方法收集我科2006年1月至2008年1月收治的行腹腔镜脾切除术治疗的遗传性球形红细胞增多症患者18例的临床资料进行回顾性分析。结果所有患者均顺利完成腹腔镜脾切除术。术中出血50～600 ml，平均200 ml。手术时间50～150 min，平均136 min（包括胆囊切除时间）。术后住院时间5～10 d，平均7.8 d,所有患者住院期间无暴发感染、胰漏等并发症发生。术后随访4～12个月，平均6.7个月，术前症状完全消失。结论腹腔镜脾切除术是治疗遗传性球形红细胞增多症的一种安全有效的方法。

Citation： 吴钧,张平,王蒙,杜晓宏. Laparoscopic Resection of Splenomegaly for Hereditary Spherocytosis (Report of 18 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(11): 928-929. doi: Copy

1.	张碧红, 陈纯, 岑丹阳, 等. 遗传性球形红细胞增多症26例 [Ｊ]. 实用儿科临床杂志, 2008; 23(15): 1162-1164.
2.	Reddy VS, Phan HH, O’Neill JA, et al. Laparoscopic versus open splenectomy in the pediatric population: a contemporary single-center experience [Ｊ]. Am Surg, 2001; 67(9): 859-864.
3.	Friedman RL, Fallas MJ, Carroll BJ, et al. Laparoscopic sp-lenectomy for ITP. The gold standard [Ｊ]. Surg Endosc, 1996; 10(10): 991-995.
4.	Kucuk C, Sozuer E, Ok E, et al. Laparoscopic versus open splenectomy in the management of benign and malign hematologic diseases: a ten-year single-center experience [Ｊ]. J Laparoendosc Adv Surg Tech A, 2005; (2): 135-139.
5.	邱晓红，吴萍，王燕霞，等．脾切除术在遗传性球形红细胞增多症中的应用 [Ｊ]. 中华小儿外科杂志, 2002; 23(3): 210.
6.	钱林生主编. 贫血[M]. 第1版. 北京: 科学出版社， 2004: 28-29.
7.	郑璐, 李靖, 梁平. 腹腔镜脾切除术的研究进展 [Ｊ]. 中国普外基础与临床杂志, 2005; 12(6): 574-576.
8.	Rege RV, Merriam LT, Joehl RJ. Laparoscopic splenectomy [Ｊ]. Surg Clin North Am, 1996; 76(3): 459-468.
9.	Hashizume M, Ohta M, Kishihara F, et al. Laparoscopic sp-lenectomy for idiopathic thrombocytopenic purpura: comparison of laparoscopic surgery and conventional open surgery [Ｊ]. Surg Laparosc Endosc, 1996; 6(2): 129-135.
10.	Katkhouda N, Hurwitz MB, Rivera RT, et al. Laparoscopic splenectomy: outcome and efficacy in 103 consecutive patients [Ｊ]. Ann Surg, 1998; 228(4): 568-578.
11.	Poulin EC, Thibault C. The anatomical basis for laparoscopic splenectomy [Ｊ]. Can J Surg, 1993; 36(5): 484-488.
12.	李春林, 彭兵, 李波. 微创外科技术在脾脏相关疾病中的应用 [Ｊ]. 中国普外基础与临床杂志, 2008; 15(10): 784-786.
13.	Minkes RK, Lagzdins M, Langer JC. Laparoscopic versus open splenectomy in children [Ｊ]. J Pediatr Surg, 2000; 35(5): 699-701.

1. 张碧红, 陈纯, 岑丹阳, 等. 遗传性球形红细胞增多症26例 [Ｊ]. 实用儿科临床杂志, 2008; 23(15): 1162-1164.
2. Reddy VS, Phan HH, O’Neill JA, et al. Laparoscopic versus open splenectomy in the pediatric population: a contemporary single-center experience [Ｊ]. Am Surg, 2001; 67(9): 859-864.
3. Friedman RL, Fallas MJ, Carroll BJ, et al. Laparoscopic sp-lenectomy for ITP. The gold standard [Ｊ]. Surg Endosc, 1996; 10(10): 991-995.
4. Kucuk C, Sozuer E, Ok E, et al. Laparoscopic versus open splenectomy in the management of benign and malign hematologic diseases: a ten-year single-center experience [Ｊ]. J Laparoendosc Adv Surg Tech A, 2005; (2): 135-139.
5. 邱晓红，吴萍，王燕霞，等．脾切除术在遗传性球形红细胞增多症中的应用 [Ｊ]. 中华小儿外科杂志, 2002; 23(3): 210.
6. 钱林生主编. 贫血[M]. 第1版. 北京: 科学出版社， 2004: 28-29.
7. 郑璐, 李靖, 梁平. 腹腔镜脾切除术的研究进展 [Ｊ]. 中国普外基础与临床杂志, 2005; 12(6): 574-576.
8. Rege RV, Merriam LT, Joehl RJ. Laparoscopic splenectomy [Ｊ]. Surg Clin North Am, 1996; 76(3): 459-468.
9. Hashizume M, Ohta M, Kishihara F, et al. Laparoscopic sp-lenectomy for idiopathic thrombocytopenic purpura: comparison of laparoscopic surgery and conventional open surgery [Ｊ]. Surg Laparosc Endosc, 1996; 6(2): 129-135.
10. Katkhouda N, Hurwitz MB, Rivera RT, et al. Laparoscopic splenectomy: outcome and efficacy in 103 consecutive patients [Ｊ]. Ann Surg, 1998; 228(4): 568-578.
11. Poulin EC, Thibault C. The anatomical basis for laparoscopic splenectomy [Ｊ]. Can J Surg, 1993; 36(5): 484-488.
12. 李春林, 彭兵, 李波. 微创外科技术在脾脏相关疾病中的应用 [Ｊ]. 中国普外基础与临床杂志, 2008; 15(10): 784-786.
13. Minkes RK, Lagzdins M, Langer JC. Laparoscopic versus open splenectomy in children [Ｊ]. J Pediatr Surg, 2000; 35(5): 699-701.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic Resection of Splenomegaly for Hereditary Spherocytosis (Report of 18 Cases)

Abstract Full text Figures/Tables Video References Cited by

Format

Content