腹腔镜脾中段切除术报道

doi:10.3877/cma.j.issn.1674-6899.2021.02.012

中华腔镜外科杂志(电子版) ›› 2021, Vol. 14 ›› Issue (02) : 119 -121. doi: 10.3877/cma.j.issn.1674-6899.2021.02.012

病例报告

腹腔镜脾中段切除术报道

吴小三¹, 夏涛², 牟一平²^,^†(

), 周育成²

^1. 233030　蚌埠医学院
^2. 310014　杭州，浙江省人民医院胃肠胰外科

收稿日期:2021-02-02 出版日期:2021-04-30
通信作者: 牟一平

Report of laparoscopic middle splenectomy

Xiaosan Wu¹, Tao Xia², Yiping Mou²^,^†(), Yucheng Zhou²

^1. Department of Surgery, Bengbu Medical College, Bengbu 233030, China
^2. Department of Gastrointestinal-Pancreatic Surgery, Zhejiang Provincial People′s Hospital, Hangzhou 310014, China

Received:2021-02-02 Published:2021-04-30
Corresponding author: Yiping Mou

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目的

通过对1例脾淋巴管瘤患者施行腹腔镜脾中段切除治疗，探讨此类患者的手术方法以及治疗效果。

方法

选取1例年轻女性脾中段淋巴瘤患者，复习文献并通过多学科诊疗模式讨论，为患者制订个体化手术方法及处理策略。

结果

手术操作顺利，术后恢复顺利，无并发症，多保留近1/2脾脏。随访中，术后1周内出现血小板进行性升高，给予对症处理恢复正常。随访1年，血小板始终维持正常范围。

结论

对于脾脏中段良性病变患者，腹腔镜脾中段切除术不仅有微创优势，更为患者保留更多的脾脏，使其获益良多。

关键词: 脾中段切除, 脾功能, 腹腔镜, 病例报告

Objective

The operation plan and therapeutic effect of laparoscopic middle splenectomy for 1 splenic lymphangioma were discussed.

Methods

A young female patient with middle splenic lymphoma was selected, reviewed the literature and discussed in many disciplines to formulate individualized operation plan and treatment strategy for the patients.

Results

The operation operated smoothly, postoperative recovery smoothly without complications, and nearly half of the spleen tissue was retained. During the follow-up, the platelet increased gradually within 1 week after operation, and the symptomatic treatment returned to normal. After 1 year of follow-up, platelets remained in normal range.

Conclusions

For benign lesions of the middle spleen, laparoscopic mid splen ectomy not only has minimally invasive advantages, but also retains more spleen for patients.

Key words: Middle splenectomy, Spleen function, Laparoscope, Case report

图1 腹腔镜脾中段切除术

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Report of laparoscopic middle splenectomy

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Report of laparoscopic middle splenectomy