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目的探讨左上腹肿瘤联合脏器切除手术入路方式。方法 2005年12月~2011年5月间对23例患者采用脾脏腹膜后入路对左上腹较大肿瘤行联合脏器切除,回顾性分析该手术方式平均所需手术时间、平均术中出血量、胃肠道恢复时间。结果 23例采用脾脏后腹膜入路对左上腹较大肿瘤行联合脏器患者均痊愈出院。12例胰体尾+脾脏+左半结肠切除术平均所需手术时间108.60 min;平均术中出血量209.87 rnl;11例胰体尾+脾脏+左半结肠+近端胃切除平均所需手术时间138.50 min;平均术中出血量308.64 rnl;23例患者胃肠恢复平均6.6 d。结论脾脏后腹膜入路行左上腹肿瘤联合脏器切除手术方式安全,易行。
Objective To investigate the way of the left upper quadrant tumor combined with organ resection. Methods From December 2005 to May 2011, 23 patients underwent splenectomy and retroperitoneal resection of the left upper quadrant of large tumors with resection of the organ. The mean operative time, the mean intraoperative blood loss , Gastrointestinal recovery time. Results Twenty-three patients were treated with splenic retroperitoneal approach. All the patients with large tumors in the left upper quadrant were cured and discharged. 12 cases of pancreatic body tail + spleen + left half colon resection required an average of 108.60 min operation time; mean operative blood loss 209.87 rnl; 11 cases of pancreatic body tail + spleen + left colon + proximal gastrectomy the average required operation time 138.50 min; average blood loss 308.64 rnl; 23 patients with gastrointestinal recovery average 6.6 d. Conclusions The peritoneal approach to the spleen with left upper quadrant tumor combined with organ resection is safe and feasible.