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自1993年Tulman等~([1])首次报道儿童腹腔镜脾切除术以来,以其创伤小、恢复快、美观等优点很快在世界范围内广泛开展,其手术方法也逐渐成熟,腹腔镜脾切除术已成为治疗儿童脾相关疾病的标准术式。常规腹腔镜脾切除术通常需要经腹壁穿置4个5~12 mm的套管,除脐部切口瘢痕隐蔽外,腹壁仍留有3处较明显瘢痕,虽然较开腹脾切除有明显进步,但美容效果欠佳。随着微创外科操作技术的进步,手术器械的不断
Since 1993, Tulman et al. ([1]) first reported in children laparoscopic splenectomy, with its advantages of small trauma, rapid recovery, aesthetics and so quickly widely in the world, and its surgical methods are gradually mature, laparoscopic Splenectomy has become the standard surgical treatment of children with spleen-related diseases. Conventional laparoscopic splenectomy usually requires the insertion of 4 5-12 mm cannulas through the abdominal wall. In addition to the hidden scar of the umbilical incision, there are 3 more obvious scars in the abdominal wall. Although there is a significant improvement over the open splenectomy, However, the cosmetic effect is not good. With the progress of minimally invasive surgical techniques, surgical instruments continue