Laparoscopic partial splenectomy guided by precise surgery procedures

中华普通外科杂志 Pub Date : 2020-03-25 DOI:10.3760/CMA.J.CN113855-20190923-00565

Junsheng Yang, Yongjin Bao, Weibo Chen, Yong Yang, H. Cai, Y. Duan, Xuemin Chen, Donglin Sun

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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 (χ2 =4.293, P<0.05). Conclusions Patients with benign solid tumors of the spleen will benefit more from LPS compared to LTS. Key words: Splenic neoplasms; Splenectomy; Laparoscopes

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精确手术指导下的腹腔镜脾部分切除术

目的评价脾部分切除术（LPS）治疗脾脏良性实体瘤的疗效。方法回顾性分析2010年1月至2018年6月在苏州大学附属第三医院腹腔镜治疗的脾脏良性实体瘤患者的临床资料。将患者分为LPS组和腹腔镜全脾切除组。结果LPS组21例，LTS组25例。两组在手术时间、失血量、输血率、引流维持、术后住院时间、费用、术后白细胞和血小板计数以及出血、发热、脾窝积液、胰瘘、静脉血栓形成等术后并发症方面的差异无统计学意义。LPS组术后血小板增多症的发生率明显低于LTS组（χ2=4.293，P<0.05）。关键词：脾肿瘤；脾切除术；腹腔镜

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中华普通外科杂志

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