Objective: To evaluate the safety, feasibility and surgical techniques of splenic artery ligation in laparoscopic sple-nectomy for megalosplenia. Methods: Forty cases with megalosplenia and portal hypertension due lo liver cirrhosis were landonily assigned to laparoscopic. group and open group. The perioperative data between 2 groups were comparatively analyzed. Results: There were no differences in preoperative clinical data. Operative time of laparoscopic group was slightly longer than open group. However, blood loss,lime of postoperative feeding,exhaust, postoperative tube removal,postoperative hospital stay were all less in laparoscopic group than those in open group. Conclusions: Laparoscopic splenectomy splenic artery ligaliun is safe, feasible and effective for megalosplenia. Compared with laparotomy,laparoscopic operation has obvious advantages in intraoperative blood loss,time of postoperative foodin-take,exhaust,removal of drainage tube and discharge. The operative time is a little longer because the operative technique should be improved in the early stage.%目的:探讨应用脾动脉结扎法行腹腔镜巨脾切除术的安全性、可行性及手术技巧.方法:将40例肝硬化门脉高压巨脾患者随机分为腹腔镜组与开腹组,对比分析两组患者的临床资料.结果:两组患者术前临床特征差异无统计学意义,腹腔镜组手术时间较开腹组稍长,术中出血量,术后进食时间、排气时间、引流管拔除时间、出院时间均优于开腹组.结论:应用脾动脉结扎法行腹腔镜巨脾切除术安全、有效、可行.相对开腹手术,在术中出血量,术后进食时间、排气时间、拔管时间及出院时间等方面腹腔镜手术均具有明显优势,由于尚处于起步阶段,手术技巧尚待提高,手术时间稍长.
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