Emergency laparoscopic splenectomy for the treatment of traumatic splenic rupture
10.3760/cma.j.issn.1007-631X.2017.02.007
- VernacularTitle:急诊腹腔镜脾切除术治疗外伤性脾破裂
- Author:
Meng WANG
;
Xiaohong DU
;
Chao JIANG
;
Feng WEI
;
Xiaodong SUN
;
Junfeng YE
;
Guangyi WANG
- Keywords:
Splenic rupture;
Laparoscopes;
Splenectomy
- From:
Chinese Journal of General Surgery
2017;32(2):116-118
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the indications and clinical effect of emergency laparoscopic splenectomy for traumatic splenic rupture.Me,ods Clinical data of 30 traumatic splenic rupture patients undergoing emergency laparoscopic splenectomy from Aug 2011 to Mar 2016 in our hospital were analyzed retrospectively.Results.All patients were of simple traumatic spleen rupture without combined injuries.There were 2 cases of grade Ⅱ (6.7％),17 cases of grade Ⅲ (56.7％),10 cases of grade Ⅳ (33.3％),1 case of grade Ⅴ (3.3％).28 cases underwent successful laparoscopic splenectomy and 2 cases were converted to open surgery.22 cases used intraoperative autologous blood transfusion (73.3％),19 cases received blood transfusion (63.3 ％),average perioperative blood loss were (1 791 ± 643) ml,operation time were (135 ± 51) min,postoperative fasting time was (2.7 ± 1.8) d,postoperative hospital stay was (8 ± 5) d.The overall postoperative morbidity rate was 20％ (6/30),including pancreatic leakage in one,pleural effusions in 2,infections in 3.There were no operative mortality and other serious complications.Conclusions Emergency laparoscopic splenectomy is minimally invasive with faster recovery,less complication and shorter hospital stay.
