Efficacy observation of laparoscopic partial splenectomy in the treatment of traumatic splenic rupture
10.3760/cma.j.cn113884-20250111-00012
- VernacularTitle:腹腔镜脾部分切除术治疗创伤性脾破裂的疗效观察
- Author:
Weiguang ZHOU
1
;
Qiang HE
1
;
Liang TAO
1
Author Information
1. 海宁市中心医院普外科，海宁 314408
- Publication Type:Journal Article
- Keywords:
Splenic rupture;
Laparoscopy;
Partial splenectomy;
Experience
- From:
Chinese Journal of Hepatobiliary Surgery
2025;31(8):612-615
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility and safety of emergency laparoscopic partial splenectomy in the treatment of traumatic splenic rupture.Methods:The clinical data of 15 patients with traumatic splenic rupture who underwent emergency laparoscopic partial splenectomy in Haining City Central Hospital from January 2018 to June 2024 were retrospectively analyzed, including 12 males and 3 females, aged (46.4±16.3) years. The indicators includingintraoperative splenic artery occlusion time, blood loss, operation time, and postoperative complications were analyzed.Results:The splenic artery occlusion time of 15 patients was (12.5±2.5) min, the partial splenectomy and wound hemostasis time was (55±18) min, the intraoperative blood loss was (1 300±620) ml, the autologous blood transfusion was (920±260) ml, and the operation time was (110±35) min. The peak platelet count was (412±123)×10 9/L. Among the 15 patients, 1 patienthad local splenic infarction pain after operation, and the rest had no signs of splenic infarction and splenic vein thrombosis, no postoperative rebleeding, and no pancreatic fistula. All 15 patients treated by laparoscopic surgery were cured. Conclusion:Laparoscopic partial splenectomy for traumatic splenic rupture is safe and feasible.
