摘要随着对脾脏解剖及功能了解的深入,不少外科专家尝试在脾动静脉离断后仍然保留脾脏.本文报道5例离断脾动静脉后保留脾脏患者的手术及随访情况.5例患者术后随访结果均较满意.本文结合国内外相关报道,探讨了离断脾动静脉后保留脾脏的安全性和可行性.

abstractsAs an important immune organ,spleen also plays a crucial role in stabilizing hematologic system.Previous reports support that splenectomy must be performed after the ligation of spleen vessels.At recent time,with the deep knowledge of the anatomy and function of spleen,the surgeons have tried to preserve this organ after the ligation of the vessels.From March 2012 to April 2016,five patients in our hospital have undergone the distal pancreatectomy with spleen preservation after the ligation of splenic vessels,and all the patients' outcomes were satisfactory in the follow-up.This essay aims to discuss the safety and feasibility of preserving spleen after the ligation of the vessels by reporting our own experience and reviewing related literatures on this topic.