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中华普外科手术学杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 374 -374. doi: 10.3877/cma.j.issn.1674-3946.2023.04.007

所属专题: 总编推荐

手术影院

经脐单孔腹腔镜下脾部分切除术
卢攀, 汪鑫, 李坚, 陈淋, 郎成, 张伟()   
  1. 641400 成都,简阳市人民医院肝胆外科
    610500 成都,成都医学院临床医学院
    641400 成都,简阳市人民医院肝胆外科;610500 成都,成都医学院临床医学院
  • 出版日期:2023-08-26
  • 通信作者: 张伟

Partial splenectomy by transumbilical single port laparoscopic

Pan Lu, Xin Wang, Jian Li, Lin Chen, Cheng Lang, Wei Zhang()   

  1. Department of General Surgery, The People’s Hospital of Jianyang City, Chengdu Sichuan Province 641400, China
    Clinical School of Medicine, Chengdu Medical College, Chengdu Sichuan Province 610500, China
    Department of General Surgery, The People’s Hospital of Jianyang City, Chengdu Sichuan Province 641400, China; Clinical School of Medicine, Chengdu Medical College, Chengdu Sichuan Province 610500, China
  • Published:2023-08-26
  • Corresponding author: Wei Zhang
引用本文:

卢攀, 汪鑫, 李坚, 陈淋, 郎成, 张伟. 经脐单孔腹腔镜下脾部分切除术[J]. 中华普外科手术学杂志(电子版), 2023, 17(04): 374-374.

Pan Lu, Xin Wang, Jian Li, Lin Chen, Cheng Lang, Wei Zhang. Partial splenectomy by transumbilical single port laparoscopic[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(04): 374-374.

近10年来,经脐单孔腹腔镜技术基本活跃于胆囊切除、阑尾切除及肝囊肿开窗引流等手术领域,而经脐单孔腹腔镜脾部分切除术在国内外鲜有报道。我们团队开展单孔腹腔镜手术至今,累计完成了各类单孔腹腔镜手术1 000余例,能熟练完成腹腔镜脾部分切除、未加辅助孔的经脐单孔腹腔镜左半肝切除等较复杂手术,这为经脐单孔腹腔镜脾脏手术的开展提供了足够的安全保障。为探索进一步减少腹部创伤并促进患者快速康复的新方法,团队尝试了经脐单孔腹腔镜脾部分切除术,并进行了视频记录。本视频展示了无任何辅助通道、且未安置引流管的经脐单孔腹腔镜脾部分切除术操作过程。

In recent 10 years,transumbilical single-port laparoscopic technique has been basically active in cholecystectomy,appendectomy and fenestration and drainage of hepatic cysts. However,transumbilical single-port laparoscopic partial splenectomy has rarely been reported at home and abroad. Up to now,our team has completed more than 1 000 cases of various types of single-port laparoscopic surgery,and can skillfully complete complex operations such as laparoscopic partial splenectomy and transumbilical single-port laparoscopic left hemiliver resection without auxiliary pore,which provides enough safety guarantee for the implementation of transumbilical single-port laparoscopic splenectomy. In order to explore a new approach to further reduce abdominal trauma and promote rapid recovery of patients,the team attempted a partial splenectomy with a single port transumbilical laparoscope and performed video recordings. This video shows the procedure of a partial splenectomy without any auxiliary channels and without drainage tube.

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[2] 桑昌美, 邹存华, 赵淑萍. 经脐单孔腹腔镜在输卵管妊娠手术中的安全性及学习曲线[J]. 中华腔镜外科杂志(电子版), 2018, 11(06): 344-346.
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[4] 王永军, 罗大勇, 李恒, 张伟, 秦一雨, 罗志梅. 全脾切除术与部分脾切除术对门静脉高压症脾功能亢进患者免疫功能影响的比较[J]. 中华肝脏外科手术学电子杂志, 2017, 06(03): 216-221.
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