腹腔镜脾切除、门奇静脉.ppt

The first reported splenectomy in North America was performed by OBrien in 1816. In late 1991 and early 1992, four groups working independently-Delare in Paris, Carroll in Los Angeles, Cushieri in the United Kingdom, and our group in Canada-published the first reports of laparoscopic splenectomy in patients with hematologic disorders.5 1、需行脾切除治疗的血液病患者: 遗传性球形红细胞增多症、原发性血小板减少性紫癜（ITP）、溶血性贫血、何杰金氏、非何金氏淋巴瘤、慢性淋巴性白血病。 2、脾脏良性占位病变：脾错构瘤、脾多发性囊肿、肉芽性脾炎。 3、脾外伤 4、门脉高压症伴脾轻、中度肿大者 1、技术条件: （1）丰富的开腹脾切除经验 （2）熟练的腹腔镜技术 2、设备条件： 腹腔镜设备 超声刀 线型切割闭合器(Endo-cutter) Classification of Spleens According to Spleen Length Spleen Class Spleen Length Normal-size spleen ?-11 cm Moderate splenomegaly 12-20 cm Massive splenomegaly 21-30 cm Megaspleen 30 cm