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首页> 外文期刊>Surgical Endoscopy >Splenic artery embolization before laparoscopic splenectomy in children.
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Splenic artery embolization before laparoscopic splenectomy in children.

机译：小儿腹腔镜脾切除术前脾动脉栓塞术。

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BACKGROUND: This study assessed the safety and utility of preoperative splenic artery embolization before laparoscopic splenectomy in children. METHODS: Five young girls with a mean age of 13.2 years underwent laparoscopic splenectomies at the authors' institution from August 1998 to April 2003. Three of the patients had idiopathic thrombocytopenic purpura, and two had hereditary spherocytosis. Preoperative splenic artery embolization was performed the day before the surgery in all cases. The laparoscopic splenectomy was performed using traditional laparoscopic procedures and standard laparoscopic instruments with the patient in the right semilateral position. RESULTS: The mean spleen weight was 252.6 g, and the mean length was 11.6 cm. All the patients reported postembolic pain, but not to a level unmanageable by intravascular narcotics. There were no severe complications in the splenic artery embolization. The laparoscopic splenectomies were completed in a mean of 211 min, with a mean estimated blood loss of 9 ml. None of the operations required conversion to traditional open laparotomy, and none of the patients died or experienced operative complications. CONCLUSION: The authors concluded that splenic artery embolization is safe and useful as an adjuvant procedure performed before elective laparoscopic splenectomy in children.
机译：背景：本研究评估了儿童腹腔镜脾切除术前脾动脉栓塞术的安全性和实用性。方法：1998年8月至2003年4月，五名平均年龄为13.2岁的年轻女孩在作者所在的机构接受了腹腔镜脾切除术。其中三名患者患有特发性血小板减少性紫癜，两名患者患有遗传性球菌病。所有病例均在手术前一天进行了脾动脉栓塞术。腹腔镜脾切除术是使用传统的腹腔镜手术和标准的腹腔镜器械，患者处于右半侧位。结果：平均脾脏重量为252.6 g，平均长度为11.6 cm。所有患者均报告栓塞后疼痛，但未达到血管内麻醉无法控制的水平。脾动脉栓塞术无严重并发症。腹腔镜脾切除术平均需要211分钟完成，平均估计失血量为9 ml。没有手术需要转换为传统的开放式剖腹手术，也没有患者死亡或出现手术并发症。结论：作者得出结论，脾动脉栓塞术作为儿童选择性腹腔镜脾切除术之前进行的辅助手术是安全和有用的。

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