The applied analysis of amputation of secondary pedicles of the spleen in laparoscopic splenectomy in hypersplenism caused by the schistosoma cirrhosis
10.3760/cma.j.issn.1673-4904.2017.06.014
- VernacularTitle:腹腔镜下二级脾蒂断离法脾切除术在血吸虫性肝硬化脾功能亢进中的应用分析
- Author:
Xiaodan YANG
;
Zhengwei SONG
;
Xiaoguang WANG
;
Quanfa NI
;
Hongbo QIN
;
Wei YU
;
Jianguo FEI
- Keywords:
Splenectomy;
Hypersplenism;
Laparoscopic splenectomy
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(6):539-541
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility, efficacy, safety and economy of secondary splenic pedicle trisection method in removing schistosoma cirrhosis caused the splenic function. Methods Thirty patients receiving spleen secondary structure amputation between July 2014 and September 2016 were analyzed. Results Laparoscopic splenectomy with secondary splenic pedicle transaction was successfully performed in 28 patients, whereas two Endo-GIAs were used in 2 patients. The average of operation time was (80 ± 20) min, and operative blood loss was (320 ± 10) ml. The drainage of the splenic fossa was removed (3- 4) days after operation.Postoperative hospital stay was (10.8 ± 1.2) days after operaions. No massive hemorrhage, pancreatic leakage, secondary infection, serious complications such as abscess under diaphragm and recent complication such as infection of incision occurred postoperatively. Platelet of all patients recovered in 4 days postoperatively, and patients with platelet>400 × 109/L was given oral aspirin enteric-coated metformin hydrochloride. All patients were followed up for 6 months postoperatively, and no intestinal obstruction, portal vein thrombosis and other long-term complications occurred in all patients. Conclusions The amputation of secondary structures of the spleen in laparoscopic splenectomy to remove schistosoma cirrhosis caused the splenic function is safe. It could shorten the length of hospital stay and reduce the medical cost. It is a valuable method for clinical promotion.
