Laparoscopic partial splenectomy guided by precise surgery procedures

VernacularTitle:精准外科理念下的腹腔镜脾部分切除术
Author: Junsheng YANG ¹ ; Yongjin BAO ; Weibo CHEN ; Yong YANG ; Huihua CAI ; Yunfei DUAN ; Xuemin CHEN ; Donglin SUN
Author Information

1. 苏州大学附属第三医院肝胆胰外科，江苏省　213003
From: Chinese Journal of General Surgery 2020;35(3):219-222
CountryChina
Language:Chinese
Abstract: Objective:To evaluate partial splenectomy (LPS) in the treatment of benign solid tumors of the spleen.Methods:The clinical data of patients with benign solid tumors of spleen treated by laparoscopy from Jan 2010 to Jun 2018 in the Third Affiliated Hospital of Soochow University was retrospectively analyzed. Patients were divided into LPS group and laparoscopic total splenectomy (LTS) group.Results:There were 21 cases in LPS group and 25 cases in LTS group. Differences between the two groups, operative time, blood loss, transfusion rate, maintenance of drain, postoperative hospital stay, costs, postoperative WBC and platelet count, and postoperative complications such as hemorrhage, fever, splenic fossa effusion, pancreatic fistula, venous thrombosis were statistically insignificant. However, the postoperative incidence of thrombocythemia in the LPS group were significantly lower compared to the LTS group (χ 2 =4.293, P<0.05). Conclusions:Patients with benign solid tumors of the spleen will benefit more from LPS compared to LTS.