In situ secondary spleen pedicle amputation in laparoscopic splenectomy vs open splenectomy for traumatic spleen rupture
10.3760/cma.j.issn.1007-631X.2017.02.006
- VernacularTitle:腹腔镜下二级脾蒂离断切脾术与开腹脾切除术治疗创伤性脾破裂的效果对比
- Author:
Liang TAO
;
Xiaohui WEN
;
Yiting LU
;
Zhijie XIE
- Keywords:
Splenic rupture;
Splenectomy;
Laparoscopes
- From:
Chinese Journal of General Surgery
2017;32(2):112-115
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare clinical efficacy between the situ secondary spleen pedicle amputation in laparoscopic splenectomy and open splenectomy for traumatic spleen rupture.Methods From January 2013 to June 2015 a total of 70 patients with splenic rupture undergoing splenectomy were devided into laparoscopic surgery (35 cases) and open surgery (35 cases) group.Clinical data included total intraoperative blood loss,the time spent on splenic artery ligation,total operation time,postoperative drainage volume,postoperative hemoglobin,platelet and albumin levels,time of anal exsufflation,hospital stay and postoperative complications.Results The average operation time in the OS group was shorter than that in LS group (P ＜ 0.05).However,LS group was better than the OS group in splenic artery ligation time,postoperative drainage volume,anus aerofluxus time,postoperative platelet count,postoperative albumin recovery,hospital stay and postoperative complications (all P ＜ 0.05).Conclusions The laparoscopic splenectomy by the amputation of in situ secondary spleen pedicle for traumatic spleen rupture has the advantages of a rapid recovery and a low postoperative complication.
