中华腔镜外科杂志(电子版)2025,Vol.18Issue(1) :8-14.DOI:10.3877/cma.j.issn.1674-6899.2025.01.002

腹腔镜脾部分切除术中国专家共识(2024 版)

Chinese expert consensus on laparoscopic partial splenectomy (2024 Edition)

中国研究型医院学会微创外科学专业委员会
中华腔镜外科杂志(电子版)2025,Vol.18Issue(1) :8-14.DOI:10.3877/cma.j.issn.1674-6899.2025.01.002

腹腔镜脾部分切除术中国专家共识(2024 版)

Chinese expert consensus on laparoscopic partial splenectomy (2024 Edition)

中国研究型医院学会微创外科学专业委员会
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摘要

随着对脾脏功能研究的深入及“精准医疗”“快速康复”理念的实施,保留脾脏功能的腹腔镜脾部分切除术(laparoscopic partial splenectomy,LPS)逐渐成为治疗脾脏良性病变、部分血液系统疾病及轻度脾脏外伤的首选术式,不但保留了脾脏功能,同时具有安全、创伤小、疼痛轻、康复快等优点。 本共识基于最新的研究成果和临床实践经验,详细阐述了LPS 的适应证、禁忌证、操作流程及术后管理等,并提出专家推荐意见,以期为临床医师提供科学、规范的指导。 共识的目标人群为接受LPS 的患者,使用人群为从事脾脏疾病治疗的各级医疗机构外科医生、护理及相关技术人员。

Abstract

Laparoscopic partial splenectomy (LPS),a minimally invasive surgical procedure,has gained increasing popularity in the treatment of splenic diseases. With advances in the understanding of splenic function and the widespread adoption of “precision medicine” and “enhanced recovery after surgery(ERAS)” principles,LPS has become the preferred surgical option for benign splenic lesions,selected hematologic disorders,and minor splenic trauma. LPS not only preserves spleen function,but also has advantages such as safety,damagecontrol,mildpain,and fast recovery. Thisconsensus,based on the latest research and clinical practice,outlines the indications,contraindications,surgicaltechniques,and postoperative management of LPS,accompanied by expert recommendations to guide clinical practice. It is intended for patients undergoing LPS and designed for use by surgeons,nurses,and healthcare professionals across all levels of medical institutions.

关键词

脾部分切除术/腹腔镜检查/操作流程/专家共识

Key words

Partial splenectomy/Laparoscopy/Procedural workflow/Expert consensus

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出版年

2025
中华腔镜外科杂志(电子版)
中华医学会

中华腔镜外科杂志(电子版)

影响因子:0.888
ISSN:1674-6899
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