A comparative study on transumbilical single-incision vs multiple-incision laparoscopic splenectomy
10.3760/cma.j.issn.1007-631X.2012.11.016
- VernacularTitle:经脐单孔腹腔镜脾切除术与多孔手术的对比研究
- Author:
Ying FAN
;
Shuodong WU
;
Jing KONG
;
Yang SU
;
Yu TIAN
- Publication Type:Journal Article
- Keywords:
Splenectomy;
Laparoscopy;
Single-Incision;
Comparative study
- From:
Chinese Journal of General Surgery
2012;(11):910-912
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the feasibility and curative effect of transumbilical single-incision (TSIL) vs multiple-incision (MIL) laparoscopic splenectomy.Methods Ten cases (2 cases of idiopathic thrombocytopenia purpura,1 case of hereditary spherocytosis,3 cases of splenic hemangioma and 4 cases of cirrhotic splenomegaly) underwent TSIL from Jan 2010 to Ju12011,and 12 cases (3 cases of ITP,2 cases of hereditary spherocytosis,3 cases of splenic hemangioma and 4 cases of splenomegaly) underwent MIL.Clinical data were compared with each other.Results No severe complications occurred in either group.The mean operation time of single-incision group and multiple-incision group was ( 182 ± 23 ) min and ( 169 ± 19) min,and blood loss was( 160 ± 13 ) ml and ( 155 ± 16) ml ( P ＞ 0.05 ).The post-operative pain score in TSIL and in MIL group was respectively [ ( 1.60 ± 0.20) vs (3.60 ± 0.90) on day 1,P ＜ 0.05 ; (0.50 ±0.10) vs (2.00 ±0.45) on day 2,P ＜0.05].There was no significant difference between the two groups in the recovery of the gastrointestinal function,the length of hospital stay and the cost of hospitalization, all P ＞ 0.05.The umbilical incision in TSIL cases is more cosmetic.Conclusions Transumbilical single-incision laparoscopic splenectomy is feasible and safe in experienced hands.
