Partial splenectomy with minimally invasive surgery in treating splenic benign lesions
10.3760/cma.j.cn113884-20240126-00031
- VernacularTitle:微创外科技术下的脾脏部分切除术在脾脏良性病变患者中的应用
- Author:
Nan JIANG
1
;
Weidong DUAN
;
Xianglong TAN
;
Ying LUO
Author Information
1. 解放军总医院第一医学中心肝胆胰外科医学部，北京 100853
- Keywords:
Splenectomy;
Minimally invasive surgery;
Benign lesion;
Treatment
- From:
Chinese Journal of Hepatobiliary Surgery
2024;30(8):602-605
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of partial splenectomy with minimally invasive surgical technique in treating splenic benign lesions.Methods:The clinical data of 19 patients, who underwent partial splenectomy with laparoscopic and robotic surgery for benign lesions of spleen, in Faculty of Hepato-Pancreato-Biliary Surgery, Chinese PLA General Hospital from January 2021 to January 2023 were retrospectively analyzed. There were 11 males and 8 females, with the age of (29.2±10.1) years old. Clinical data, such as gender, age, operating procedure, intraoperative blood loss, operation time, postoperative hospital stay and postoperative complications, were collected.Results:Nineteen patients successfully underwent partial splenectomy with minimally invasive surgery, including laparoscopic partial splenectomy (13 cases) and robotic partial splenectomy (6 cases). Irregular partial splenectomy was performed in 10 patients, and regular partial splenectomy in 9 patients. There was no conversion to open surgery. Operation time, intraoperative blood loss, postoperative hospital stay and time of postoperative drainage tube indwelling were 178(130, 200) min, 200(50, 300) ml, 6 (4, 7) d and 3(2, 5) d. Postoperative complications developed in 4 cases (21.1%, 4/19), including left pleural effusion (3 cases) and spleen remnant infarction (1 case).Conclusion:Partial splenectomy by minimally invasive surgery in treating splenic benign lesions is safe and feasible.
