Laparoscopic splenectomy and pericardial devascularization with artery pressure perfusion
10.3760/cma.j.cn431274-20201019-01415
- VernacularTitle:脾动脉加压灌注自血回输技术在腹腔镜脾切除贲门周围血管离断术中的应用
- Author:
Guoliang SHEN
1
;
Defei HONG
;
Chengwu ZHANG
;
Yuhua ZHANG
;
Zhifei WANG
Author Information
1. 浙江省人民医院肝胆胰外科、微创外科，杭州 310000
- Keywords:
Splenectomy;
Laparoscopy;
Blood transfusion, autologous;
Pericardial devascularization
- From:
Journal of Chinese Physician
2021;23(11):1647-1650
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate trans-artery pressure perfusion autologous transfusion for laparoscopic splenectomy and pericardial devascularization (LSPD).Methods:The clinical data of patients with laparoscopic splenectomy in Zhejiang Provincial People′s Hospital in recent 3 years were reviewed. The therapeutic effects of 30 LSPD cases with trans-artery pressure perfusion (observation group) and 30 radical LSPD cases (control group) were compared and analyzed.Results:There was no significant difference in age, sex, preoperative liver function grade and spleen volume between the two groups ( P>0.05). All 60 patients completed laparoscopic splenectomy without conversion to laparotomy or death. There was no significant difference in liver function, operation time and intraoperative bleeding between the observation group and the control group ( P>0.05), and there was also no significant difference in blood transfusion, postoperative complications and hospital stay ( P>0.05). The hemoglobin level in the observation group was significantly higher than that in the control group ( P<0.05). Conclusions:Laparoscopic splenectomy and pericardial devascularization with trans-artery pressure perfusion autologous transfusion can increase post-operative hemoglobin value effectively.
