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中华肝脏外科手术学电子杂志 doi: 10.3877/cma.j.issn.2095-3232.2024997

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腹腔镜巨脾切除术:逐步打破的手术壁垒
卓文锋1, 曾桂芳1, 杨思加1, 赵家立1, 邹宝嘉1, 白子锐1, 林恩1, 李坚1,()   
  1. 1. 519000 珠海,中山大学附属第五医院肝胆外科
  • 收稿日期:2024-06-23
  • 通信作者: 李坚

Laparoscopic megasplenectomy: gradually overcoming surgical barriers

Wenfeng Zhuo1, Guifang Zeng1, Sijia Yang1, Jiali Zhao1, Baojia Zou1, Zirui Bai1, En Lin1, Jian Li1,()   

  1. 1. Department of Hepatobiliary Surgery, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, China
  • Received:2024-06-23
  • Corresponding author: Jian Li
引用本文:

卓文锋, 曾桂芳, 杨思加, 赵家立, 邹宝嘉, 白子锐, 林恩, 李坚. 腹腔镜巨脾切除术:逐步打破的手术壁垒[J]. 中华肝脏外科手术学电子杂志, doi: 10.3877/cma.j.issn.2095-3232.2024997.

Wenfeng Zhuo, Guifang Zeng, Sijia Yang, Jiali Zhao, Baojia Zou, Zirui Bai, En Lin, Jian Li. Laparoscopic megasplenectomy: gradually overcoming surgical barriers[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), doi: 10.3877/cma.j.issn.2095-3232.2024997.

腹腔镜巨脾切除术(LSMS)曾一度被列为微创手术禁忌。然而,近年来随着微创理念和技术设备的不断发展,LSMS逐渐开展,并呈现出技术扁平化的时代特点,得到越来越广泛的应用,渐有成为首选术式的趋势。现笔者结合相应文献资料及个人体会,就LSMS的发展及手术特点作一总结,并对其技术难点与对策及未来进展进行探讨和展望。

Laparoscopic megasplenectomy (LSMS) has been previously considered as a contraindication for minimally invasive surgery. However, with persistent development of minimally invasive concept and technical equipment, LSMS has been gradually carried out in recent years, showcasing the characteristics of the era of flattening technology, which has been widely applied and has gradually become the optimal surgery. Based on relevant literature review and clinical experience, the development and surgical characteristics of LSMS were summarized, and the technical difficulties, countermeasures and future progress were also discussed and predicted in this article.

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