Comparison of curative effect of two spleen-pedicle regurgitation programs in patients with minimally invasive splenectomy
10.3969/j.issn.1007-1989.2018.03.014
- VernacularTitle:两种脾蒂离断方案在脾脏微创切除手术患者中的疗效比较
- Author:
Chuan JIANG
1
;
Chu-Xiao SHAO
;
Jin-De ZHU
;
Chao-Yong TU
;
Xi-Liang LǕ
;
Qiao-Mei LIN
;
Kun ZHANG
Author Information
1. 浙江省丽水市中心医院 肝胆胰外科
- Keywords:
splenectomy;
laparoscopy;
spleen pedicle margin;
efficacy
- From:
China Journal of Endoscopy
2018;24(3):64-67
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical effect of minimally invasive resection of spleen in the upper margin of the spleen pedicle. Methods 152 patients underwent splenectomy were enrolled in this study from June 2012 to June 2017. All patients underwent laparoscopic splenectomy. Among the 118 patients, the spleen pedicle was removed from the spine pedicle of the spleen pedicle and the spleen pedicle was taken as the control group. Comparison of the two groups of patients with perioperative period, 7 d postoperative hematological indicators and complications occurred. Results The intraoperative blood loss (51.85 ± 27.14) ml, the operation time (69.39 ± 19.34) min and the transfer rate (0.84%) were lower in the observation group than those in the control group (82.67 ± 36.29) ml, (119.44 ± 23.73) min and (8.82%), the difference was statistically significant (P < 0.05). There was no significant difference in the time of first anal exhaust, food time and hospitalization time (P > 0.05). The levels of blood white blood cell count (WBC) (4.32 ± 1.14) ×109/L, hemoglobin (Hb) (125.37 ± 18.28) g/L and platelet (PLT) were significantly higher than those in the observation group (378.28±112.94) (P < 0.05) were significantly higher than those in the control group (3.28 ± 1.05) ×109/L, (97.23 ± 22.43) g/L and (239.42 ± 134.82) ×109/L, respectively. The incidence of pancreatic fistula, abdominal hemorrhage, portal vein thrombosis, infection and intestinal obstruction was significantly lower in the observation group than in the control group (P < 0.05). Conclusion Splenectomy of splenic pedicle in spleen splenectomy can reduce the intraoperative blood loss and transfer rate, reduce the operation time and reduce the incidence of postoperative complications. It can be further promoted in clinical and use.
