全腹腔镜脾切除加贲门周围血管离断术与开腹手术的临床对照研究

摘要

目的：对比完全腹腔镜脾切除加贲门周围血管离断术与传统开腹手术的短期治疗效果，并进一步探讨完全腹腔镜的优越性、可行性及手术技巧。方法：统计分析2008年1月-2012年12月陕西中医学院第一附属医院行完全腹腔镜脾切除加贲门周围血管离断术26例患者与同期开腹手术30例患者的临床资料。结果：腹腔镜组术中出血、术后排气、术后拔管、切口长度及住院时间明显少于对照组，而两组手术时间、术后并发症及住院费用比较差异无统计学意义。结论：全腹腔镜脾切除加贲门周围血管离断术治疗门脉高压症安全可行，较传统开腹手术，其具有损伤小、恢复快、伤口美观等优点，近期疗效明显优于开腹手术。%Objective:To compare the clinical effect of laparoscopic splenectomy combined with pericardial devascularization and open surgery and to explore the procedure,superiority and feasibility.Method:The clinical data of 26 cases of laparoscopic splenectomy combined with pericardial devascularization and 30 case of open surgery from the First Affiliated Hosptal of Shanxi University of Chinese Medicine from Jan 2008 to June 2012 was retrospecttively analyzed.Result:The intraoperaive blood loss,postoperative discharge,postoperative extubation,incision,and length of postoperative hospitalization were both obviously less in thelaparoscope group.However,the operativetime,postoperative complication and costof hospitalization were similarin both groups. Conclusion:The procedure of laparoscopic splenectomy combined with pericardial devascularization is feasible and safe, with premising therapeutic better and effect clinical effect than open surgery,there are several advantages such as minimalinvasion,fasterrecovery, beautifuloutlookandsoon.