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首页> 外文期刊>Surgical Endoscopy >Laparoscopically assisted massive splenectomy. A preliminary report of the technique of early hilar devascularization.
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Laparoscopically assisted massive splenectomy. A preliminary report of the technique of early hilar devascularization.

机译:腹腔镜辅助大块脾切除术。早期肺门血运重建术的初步报告。

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摘要

Laparoscopic splenectomy has been safely performed for small spleens, but technical limitations have prevented massive splenectomy. We describe a technique of early hilar devascularization to enable massive splenectomy in three patients over the age of 80 years. Massive splenectomy was performed with minimal blood loss and minor morbidity. Early laparoscopic control of the splenic artery and vein will enable the safe removal of the massive spleen, without major laparotomy. Morbidity of splenectomy may be reduced by laparoscopy.
机译:腹腔镜脾切除术已被安全地用于小脾脏,但技术局限性阻止了大规模脾切除术。我们描述了一种早期的肺门血运重建术,可在三名80岁以上的患者中进行大规模脾切除术。进行了大尺寸脾切除术,失血量和并发症发生率极低。早期腹腔镜控制脾动脉和静脉将能够安全地切除大块脾脏,而无需进行大的剖腹手术。腹腔镜检查可减少脾切除的发病率。

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