目的

探讨手辅助腹腔镜技术在外伤性脾破裂治疗中的手术技巧。

方法

2002 年1 月至2006 年10 月采用手辅助腹腔镜脾切除术治疗42 例外伤性脾破裂，其中18 例合并其他脏器损伤。

结果

42 例均手术顺利，无中转开腹手术；手术时间32～105 min，平均62 min；24 例单纯性脾破裂患者术后平均住院7 天，18 例有合并伤者平均住院12.8 天； 无严重手术并发症及手术死亡。

结论

手辅助腹腔镜脾切除术在外伤性脾破裂治疗中具有创伤小、手术时间短、操作安全等优点，熟练的手术技巧是手术成功的保证。

Objective

To explore the technique experience of hand assisted laparoscopic splenectomy （HALS） in ruptured spleen.

Methods

From January 2002 to October 2006，HALS was performed in 42 cases，among whom 18 cases were combined with other visceral trauma.

Results

All cases were performed successfully by HALS.Mediant operation time was 62 min （range 35-105 min）.The average hospital stay was 7 days in 24 cases with only spleen trauma and 12.8 days in 18 cases combined with other injuries.No major operative complications and mortality occurred.

Conclusions

HALS has advantages of minimal invasion，short operation time and safely，and the skillful technique is assurance of success.