【摘要】 目的 比较腹腔镜脾切除术(LS)与腹腔镜辅助脾切除术(LAS)的临床疗效。 方法 回顾性分析40例腹腔镜脾切除术病例(包括15例腹腔镜脾切除术和25例腹腔镜辅助脾切除术)。 结果 LAS平均手术时间、平均失血量、中转开腹率及术后并发症均较行LS低，而平均住院时间相对较长。术后胃肠蠕动恢复时间及特发性血小板减少性紫癜患者术后血小板上升程度差异无显著性。 结论 LAS是一种相对优越的脾切除微创治疗方法。

    关键词 腹腔镜脾切除术 腹腔镜 辅助脾切除术

    Laparoscopic splenectomy and laparoscopic assistant splenectomy:a report of40cases

    Wang Jiangping，Chen Dejie

    Department of General Surgery，Xiangfan Hospital Affiliated to Tongji Medical College of Huazhong Science and Technology University，Hubei441000.

    【Abstract】 Objective To evaluate the virtue and shortage of laparoscopic splenectomy(LS)and laparoscopic assistant splenectomy(LAS).Methods 40cases were performed splenectomy between1995and2004，among them15cases of splenectomy were performed in LS ......