Chinese Journal of Practical Surgery ›› 2023, Vol. 43 ›› Issue (08): 943-945.DOI: 10.19538/j.cjps.issn1005-2208.2023.08.22

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  • Online:2023-08-01 Published:2023-08-24

腹腔镜脾脏部分切除有关技术探讨

麻    勇a,b,周永志a,b,谭宏涛b,c,姜洪池a,b   

  1. 哈尔滨医科大学附属第一医院    a.肝脏微创外科  b.肝脾外科教育部重点实验室   c.胰胆外科,黑龙江哈尔滨 150001

Abstract: Technique discussion of laparoscopic partial splenectomy          MA Yong*, ZHOU Yong-zhi, TAN Hong-tao,et al. *Department of Minimal Invasive Hepatic Surgery, Key Laboratory of Hepatosplenic Surgery, Ministry of Education, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, China. 
Corresponding author:JIANG Hong-chi,E-mail:jianghc@
vip.163.com
Abstract    Due to the increasing number of splenic function studies, the awareness of spleen-preserving approaches and the advantages of laparoscopic surgery are also highlighted, laparoscopic partial splenectomy has become an important method of splenic preservation therapy.  However, because of the special anatomical structure of spleen, laparoscopic partial splenectomy is still a technically challenging procedure. The surgeons should systematically grasp its indication selection, technical details and complication treatment, and comprehensively consider the equipment  condition and technical ability, individually select the optimal patient to perform this surgery.

Key words: partial splenectomy, spleen-preserving surgery, laparoscope

摘要: 随着脾脏功能研究的深入,人们对于脾脏外科疾病的保脾治疗意愿和需求逐渐提高,加之腹腔镜手术的众多优势已渐被广泛认可,腹腔镜脾脏部分切除术已成为脾保留性手术的重要方式。然而,由于脾脏的特殊解剖结构,腹腔镜脾脏部分切除术仍属于技术难度较高的术式,需要对该术式的适应证选择、技术要点及并发症防治等有较为系统地了解和掌握,并结合自身单位的设备条件和技术特长,选择适宜病例进行开展。

关键词: 脾脏部分切除术, 脾保留性手术, 腹腔镜