XI Hong-wei,CUI Qiang-qiang,WANG Jian-feng,et al.Application of fractional ligature of splenic stalk in laparoscopic splenectomy in Children.[J].Journal of Clinical Pediatric Surgery,2010,9(03):0.
分级脾蒂结扎法在儿童腹腔镜脾切除术中的应用
- Title:
- Application of fractional ligature of splenic stalk in laparoscopic splenectomy in Children.
- Keywords:
- Splenectomy; Ligation Therapy; Laparoscopes; Child
- 摘要:
- 目的 探讨分级脾蒂结扎法在儿童腹腔镜脾切除术中的应用。 方法 实施腹腔镜下分级脾蒂结扎法脾切除术8例，年龄5～14岁，平均年龄8.5岁；体重16～66 kg，平均体重34.5 kg。 结果 8例均在腹腔镜下顺利完成手术。手术时间90～150 min，平均100 min，术中出血10～200 mL，平均50 mL，住院时间5～7 d，平均6.2 d。8例均获随访，随访时间2～7个月，平均4.5个月。患儿术前症状完全消失，无并发症发生。结论 儿童腹腔镜下脾切除术中采用分级脾蒂结扎法可以减少术中出血，手术安全，效果好。
- Abstract:
- Objective To explore the application of fractional ligature of splenic stalk in laparoscopic splenectomy in Children. Methods Eight children (Aged from 5 years to 14 years,mean 8.5years.Weighty from 16 to 66 Kg,mean 34.5Kg.)were performed with laparosco
参考文献/References:
1 Lagausie P,Bonnard A,Benkerrou M,et al.Pediatric Laparoscopic Splenectomy Benefits of the Anterior[J].Approach Surg Endosc,2004,18(1):80-82.
2 Kucuk C,Sozuer E,Ok E,et al.Laparoscopic Versus Open Splenectomy in the Management of Benign Hematologic Diseases:a ten-year single center experience[J].Laparoendosc Adv Surg,2005,15(2):135-139.
3 Reddy VS,Phan HH,Oneill JA,et al.Laparoscopic Versus Open Splenectomy in the Pediatric Population a Contemporary Single-center Experience[J].Am Surg,2001,67(9):859-863.
4徐伟立,李索林,时保军,等.腹腔镜巨脾切除术治疗小儿遗传性球形红细胞增多症（附7例报告）[J].中国微创外科杂志,2005,5(9):694-695.
5李萌,于增文,李索林,等.超声多普勒血管显像在内结扎法腹腔镜脾切除术中的应用[J].临床小儿外科杂志,2008,7(3):10-13.
6严志龙.儿童腹腔镜脾切除术[J].腹腔镜外科杂志,2009,14(5):329-331.
7马富平,安东均,晁延军,等.腹腔镜脾切除术脾蒂处理影响因素及对策[J].当代医学,2009,15(1):79-80.
8马德胜.脾脏疾病与临床[M].北京：军事医学科学出版社,2001:3-24.
9陈维佩,韩殿冰.脾脏的血管解剖与保脾手术[J].中国实用外科杂志,1999,19:710-712.
10 蔡秀军,梁霄,虞洪,等.内镜下切割吻合器腹腔镜脾脏切除术[J].全科医学临床与教育,2003,1:10-11.
相似文献/References:
[1]李萌,于增文,李索林,等.超声多普勒血管显像在内结扎法腹腔镜脾切除术中的应用[J].临床小儿外科杂志,2008,7(03):4.
[2]田琳欢,李索林,刘林,等.腹腔镜脾大部分切除联合选择性贲门周围血管离断术治疗儿童肝内型门静脉高压症[J].临床小儿外科杂志,2019,18(12):1009.[doi:10.3969/j.issn.1671-6353.2019.12.005]
Tian Linhuan,Li Suolin,Liu Lin,et al.Laparoscopic subtotal splenectomy plus selective periesophagogastric devascularization for intrahepatic portal hypertension in children[J].Journal of Clinical Pediatric Surgery,2019,18(03):1009.[doi:10.3969/j.issn.1671-6353.2019.12.005]
[3]章跃滨,陈青江,蔡多特,等.机器人手术系统辅助儿童脾切除术三例并文献复习[J].临床小儿外科杂志,2021,20(08):718.[doi:10.12260/lcxewkzz.2021.08.004]
Zhang Yuebin,Chen Qingjiang,Cai Duote,et al.Robot-assisted laparoscopic splenectomy in children: a report of 3 cases with review of the literature[J].Journal of Clinical Pediatric Surgery,2021,20(03):718.[doi:10.12260/lcxewkzz.2021.08.004]
备注/Memo
作者单位：上海交通大学医学院附属新华医院儿童骨科（200092），E-mail：lvxiumin2007@163.com，通讯作者：张菁，E-mail：chentingsun@126.com