完全腹腔镜与手助腹腔镜脾切除加贲门周围血管离断术的临床效果对比

摘要

Objective: To explore the clinical effect of Laparoscopic and hand-assisted laparoscopic resection of pericardial devascularization. Methods: 58 cases of patients with cirrhosis and portal hypertension in Our hospital from January 2015 to January 2016, Based on its coins were randomly divided into control group and observation group, all patients are in laparoscopic splenectomy plus pericardial devascularization, in which the control group was totally laparoscopic surgery, patients in the observation group hand-assisted laparoscopic surgery, surgical patients were last comparative observation situation. Results: Two different surgical patients in addition to no significant difference in terms of postoperative exhaust time outside (P>0.05), patients in the observation group operative time, blood loss, blood transfusion were significantly better than quantity the control group (P<0.05), the difference was statistically significant contrast exists;The complication rate between the two groups of 10.3%, 27.6% of comparison, there was a significant difference (P<0.05). Conclusion: Hand-assisted laparoscopic splenectomy plus pericardial devascularization improve the safety of surgery, reduce the incidence of complications, safe and feasible, with a very broad application prospects.%目的：探讨完全腹腔镜与手助腹腔镜进行脾切除加贲门周围血管离断术的临床效果。方法：选取我院2015年1月～2016年1月收治的58例肝硬化门脉高压症患者，将其依据硬币法随机分为对照组与观察组，所有患者皆于腹腔镜下行脾切除加贲门周围血管离断术，其中对照组患者为完全腹腔镜下手术，观察组患者为手助腹腔镜下手术，最后对比观察两组患者手术情况。结果：两组不同术式患者除了在术后排气时间方面的比较无明显差异之外（P＞0.05），观察组患者在手术时间、术中出血量、术中输血量方面均明显优于对照组（P＜0.05），差异对比存在统计学意义；两组间并发症发生率10.3%、27.6%的对比，存在显著性差异（P＜0.05）。结论：手助腹腔镜脾切除加贲门周围血管离断术提高了手术的安全性，降低了并发症发生率，安全、可行。