腹腔鏡脾切除術的研究進展_《中國普外基礎與臨床雜志》

作者：

鄭璐 , 李靖 , 梁平

第三軍醫大學新橋醫院肝膽外科（重慶 400037）;

關鍵詞：

脾疾病脾切除術腹腔鏡

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【摘要】目的探討腹腔鏡脾切除術（laparoscopic splenectomy,LS)的手術方法、安全性及臨床效果。方法對當前國內、外有關腹腔鏡脾切除的研究報道及最新進展進行綜述和分析。結果隨著技術的進步，LS的適應證逐漸擴大；脾臟大小是影響LS手術效果的重要因素。

結論 LS具有微創外科的一切優點。對于巨大脾臟，選擇手助的LS是安全可行的，且比開腹手術具有優越性。隨著手術者經驗的積累及手術方法、操作器械的不斷改進，LS將越來越廣泛地被應用于臨床。

引用本文： 鄭璐,李靖,梁平. 腹腔鏡脾切除術的研究進展. 中國普外基礎與臨床雜志, 2005, 12(6): 574-576. doi: 復制

1 Rhodes M, Rudd M, O ’Rourke N, et al. Ann Surg, 1995; 222(1)432 許紅兵，蕭蔭祺，李為民，等. 電視腹腔鏡脾切除一例報告 [J]. 內鏡外科雜志， 1994； 1（增刊）2933 王先法，蔡秀軍，虞洪，等. 腹腔鏡脾切除41例臨床分析 [J]. 中華普通外科雜志， 2003； 18（10）6074 Brodsky JA, Brody FJ, Walsh RM, et al. Laparoscopic splenectomy [J]. Surg Endosc, 2002; 16(5)8515 朱江帆，陳江，張華云，等. 手助腹腔鏡脾切除術 [J]. 中國微創外科雜志， 2002； 10（2）486 Borrazzo EC, Daly JM, Morrisey KP, et al. Handassisted laparoscopic splenectomy for giant spleens [J]. Surg Endosc, 2003; 17(6)917 許紅兵，蕭蔭祺，鄭方，等. 套袖與免氣腹裝置輔助腹腔鏡巨脾切除及斷流術 [J]. 中華消化內鏡雜志， 1997； 14（2）1308 周漢新. 微創外科的明天——機器人手術 [J]. 中國普通外科雜志， 2003； 12（12）8819 Chapman WH 3rd, Albrecht RJ, Kim VB, et al. Computerassisted laparoscopic splenectomy with the da Vinci surgical robot [J]. J Laparoendosc Adv Surg Tech A, 2002; 12(3)15510 Rechardson WJ. Introduce a new method for laparoscopic splenectomy [J]. J Am Coll Surg, 2003; 185(10)41211 Tan M, Zheng CX, Wu ZM, et al. Laparoscopic splenectomy: the latest technical evaluation [J]. World J Gastroenterol, 2003; 9(5)108612 Chan SW, Hensman C, Waxman BP, et al. Technical developments and a team approach leads to an improved outcome: lessons learnt implementing laparoscopic splenectomy [J]. ANZ J Surg, 2002; 72(7)52313 Ng WT, Lee KW. Control of hemorrhage during laparoscopic splenectomy [J]. Surgery, 2001; 129(5)65214 Yano H, Iwazawa T, Kinuta M, et al. Solitary splenic metastasis from ovarian cancer successfully treated by handassisted laparoscopic splenectomy: report of a case [J]. Surg Today, 2002; (8)75015 Allran CF Jr, Weiss CA 3rd, Park AE. Urgent laparoscopic splenectomy in a morbidly obese pregnant woman: case report and literature review [J]. J Laparoendosc Adv Surg Tech A, 2002; 12(6)44516 Ailawadi G, Yahanda A, Dimick JB, et al. Handassisted laparoscopic splenectomy in patients with splenomegaly or prior upper abdominal operation [J]. Surgery, 2002; 132(4)68917 Cordera F, Long KH, Nagorney DM, et al. Open versus laparoscopic splenectomy for idiopathic thrombocytopenic purpura: clinical and economic analysis [J]. Surgery, 2003; 134(1)4518 Patel AG, Parker JE, Wallwork B, et al. Massive splenomegaly is associated with significant morbidity after laparoscopic splenectomy [J]. Ann Surg, 2003; 238(2)23519 馮澤榮，賀孝文，廖軻. 手助腹腔鏡與開腹脾切除加門奇靜脈阻斷術的前瞻性對比研究 [J]. 腹腔鏡外科雜志， 2003； 8（4）224.

1. 1 Rhodes M, Rudd M, O ’Rourke N, et al. Ann Surg, 1995; 222(1)432 許紅兵，蕭蔭祺，李為民，等. 電視腹腔鏡脾切除一例報告 [J]. 內鏡外科雜志， 1994； 1（增刊）2933 王先法，蔡秀軍，虞洪，等. 腹腔鏡脾切除41例臨床分析 [J]. 中華普通外科雜志， 2003； 18（10）6074 Brodsky JA, Brody FJ, Walsh RM, et al. Laparoscopic splenectomy [J]. Surg Endosc, 2002; 16(5)8515 朱江帆，陳江，張華云，等. 手助腹腔鏡脾切除術 [J]. 中國微創外科雜志， 2002； 10（2）486 Borrazzo EC, Daly JM, Morrisey KP, et al. Handassisted laparoscopic splenectomy for giant spleens [J]. Surg Endosc, 2003; 17(6)917 許紅兵，蕭蔭祺，鄭方，等. 套袖與免氣腹裝置輔助腹腔鏡巨脾切除及斷流術 [J]. 中華消化內鏡雜志， 1997； 14（2）1308 周漢新. 微創外科的明天——機器人手術 [J]. 中國普通外科雜志， 2003； 12（12）8819 Chapman WH 3rd, Albrecht RJ, Kim VB, et al. Computerassisted laparoscopic splenectomy with the da Vinci surgical robot [J]. J Laparoendosc Adv Surg Tech A, 2002; 12(3)15510 Rechardson WJ. Introduce a new method for laparoscopic splenectomy [J]. J Am Coll Surg, 2003; 185(10)41211 Tan M, Zheng CX, Wu ZM, et al. Laparoscopic splenectomy: the latest technical evaluation [J]. World J Gastroenterol, 2003; 9(5)108612 Chan SW, Hensman C, Waxman BP, et al. Technical developments and a team approach leads to an improved outcome: lessons learnt implementing laparoscopic splenectomy [J]. ANZ J Surg, 2002; 72(7)52313 Ng WT, Lee KW. Control of hemorrhage during laparoscopic splenectomy [J]. Surgery, 2001; 129(5)65214 Yano H, Iwazawa T, Kinuta M, et al. Solitary splenic metastasis from ovarian cancer successfully treated by handassisted laparoscopic splenectomy: report of a case [J]. Surg Today, 2002; (8)75015 Allran CF Jr, Weiss CA 3rd, Park AE. Urgent laparoscopic splenectomy in a morbidly obese pregnant woman: case report and literature review [J]. J Laparoendosc Adv Surg Tech A, 2002; 12(6)44516 Ailawadi G, Yahanda A, Dimick JB, et al. Handassisted laparoscopic splenectomy in patients with splenomegaly or prior upper abdominal operation [J]. Surgery, 2002; 132(4)68917 Cordera F, Long KH, Nagorney DM, et al. Open versus laparoscopic splenectomy for idiopathic thrombocytopenic purpura: clinical and economic analysis [J]. Surgery, 2003; 134(1)4518 Patel AG, Parker JE, Wallwork B, et al. Massive splenomegaly is associated with significant morbidity after laparoscopic splenectomy [J]. Ann Surg, 2003; 238(2)23519 馮澤榮，賀孝文，廖軻. 手助腹腔鏡與開腹脾切除加門奇靜脈阻斷術的前瞻性對比研究 [J]. 腹腔鏡外科雜志， 2003； 8（4）224.

《中國普外基礎與臨床雜志》

腹腔鏡脾切除術的研究進展

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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《中國普外基礎與臨床雜志》

腹腔鏡脾切除術的研究進展

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料