Clinical evaluation on three-dimensional laparoscopic splenectomy for massive splenomegaly secondary to liver cirrhosis
10.3760.cma.j.issn.1007-631X.2020.02.013
- VernacularTitle:3D腹腔镜脾切除术治疗肝硬化合并巨脾的临床疗效
- Author:
Guangjin TIAN
1
;
Yuting HE
;
Haibo YU
;
Yadong DONG
;
Xiaopei HAO
;
Kunfu DAI
;
Deyu LI
Author Information
1. 河南省人民医院肝胆胰腺外科 郑州大学人民医院 河南大学人民医院
- Keywords:
Laparoscopes;
Imaging,three-dimensional;
Splenectomy
- From:
Chinese Journal of General Surgery
2020;35(2):135-137
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of three-dimensional laparoscopic splenectomy for massive splenomegaly secondary to liver cirrhosis.Methods The clinical data of 67 patients who underwent laparoscopic splenectomy for massive splenomegaly at Henan Province People's Hospital from Jan 2013 to Dec 2018 were collected.Results Operation time,volume of intraoperative blood loss and blood transfusion,number of patients with intraoperative blood transfusion,and conversion to laparotomy were in favor of 3D group,with statistically differences (t =12.900,18.255,19.711,x2 =10.747,0.685,P ＜ 0.05).Postoperative intraabdominal bleeding,pancreatic fistula,and postoperative hospital stay in 2D group were more than those in 3D group,with statistically differences (x2 =3.511,4.527,t =12.969,P ＜ 0.05).All patients were followed up for 5 to 60 months.Portal thrombosis occurred in 6 patients vs 5 patients,respectively (x2 =0.028,P ＞ 0.05) and resolved with oral coumarin.Conclusions Three-dimensional laparoscopic splenectomy can provide more realistic visual effects of surgical procedures and has an obvious advantage in laparoscopic splenectomy for massive splenomegaly secondary to liver cirrhosis.
