Hand assisted laparoscopic splenectomy for ruptured spleen
- VernacularTitle:手助腹腔镜脾切除术治疗外伤性脾破裂
- Author:
Zhijun ZHU
;
Dawei LI
;
Rongrong ZHENG
;
- Publication Type:Journal Article
- Keywords:
Splenic rupture;
Splenectomy;
aparoscopic surgery
- From:
Chinese Journal of Trauma
2003;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and clinical efficacy of hand assisted laparoscopic splenectomy (HALS) for ruptured spleen. Methods From January 2002 to October 2002, HALS was performed in 12 cases, among whom were 8 cases combined with other viceral trauma. Results HALS was accomplished successfully in 10 cases and laparotomy in 2. In 10 cases, the operation time of HALS averaged 102.5 minutes. The mean post operative hospitalization was 5.8 days in 4 cases with only spleen trauma and 15.5 days in 6 combined with other viceral trauma. Conclusions HALS is a feasible, effective and safe surgical procedure for the cases with Buntain CT scalingⅡ or Ⅲ spleen trauma with no severe combined trauma.