Clinical application of laparoscopic splenectomy by amputating secondary splenic pedicles
10.3760/cma.j.issn.1007-631X.2017.02.008
- VernacularTitle:二级脾蒂离断在腹腔镜脾切除术中的应用
- Author:
Jinxue ZHOU
;
Xiangyu ZHAN
;
Qingjun LI
;
Kai WANG
;
Zhengzheng WANG
;
Xun CHEN
;
Feng HAN
- Keywords:
Splenectomy;
Laparoscopes;
Hypersplenism
- From:
Chinese Journal of General Surgery
2017;32(2):119-121
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate laparoscopic splenectomy through amputation of secondary splenic pedicles.Methods From February 2010 to March 2016 33 patients underwent laparoscopic splenectomy.Patients were followed up by outpatient examination and telephone interview.Follow-up period ended in April 2016.Results All the 33 patients successfully underwent laparoscopic amputation of secondary splenic pedicle splenectomy.The operation time and volume of intraoperative blood loss were (155 ± 42) min and (210 ± 50) ml.Three patients had postoperative complications including two with ascites sand one with small amount splenic fossa bleeding.All the patients were followed up for a median time of 21 months (range,1-65 months).During the follow-up,1 patient died of hepatic encephalopathy and 32 patients were doing well.Conclusion Laparoscopic amputation of secondary splenic pedicle splenectomy is safe and feasible.
