Recent advances in laparoscopic splenectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Xiuquan ,  ZHANG Xinyu

Department of General Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, P. R. China;

Corresponding author：

ZHANG Xinyu, Email: xinyuzhang3052000@163.com.cn

Keywords：

laparoscopic splenectomy; recent advance

DOI：

10.7507/1007-9424.201706117

Video：

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Objective To investigate safety, feasibility, and future direction of laparoscopic splenectomy. Method The latest progress and new achievements of laparoscopic splenectomy in the world were analyzed and summarized. Results At present, the laparoscopic splenectomy mainly included the completely laparoscopic splenectomy, hand assisted laparoscopic splenectomy, gasless laparoscopic splenectomy, single hole laparoscopic splenectomy, or robot assisted laparoscopic splenectomy. The completely laparoscopic total splenectomy had become the most common surgical procedure in the clinical treatment due to the reliable curative effect, less injury, and rapid recovery, the partial splenectomy was one of the precise treatments for the benign splenic lesions. The hand assisted laparoscopic splenectomy was widely used in the giant spleen, it could reduce the exposure difficulty, effectively deal with the intraoperative hemorrhage, and reduce the risk of surgery. The robot assisted laparoscopic splenectomy was one of the minimally invasive operations, the system with three-dimensional high definition vision and flexible robotic arm overcame the limitations of traditional laparoscopic two-dimensional display, could precisely complete the operation and achieve the accurate treatment. Conclusions Laparoscopic splenectomy has some advantages of less operative injury, less pain, and rapid recovery, it’s safety and feasibility have been proved. We should strictly grasp indications and contraindications for laparoscopic splenectomy, appropriate surgical methods should be selected for specific splenic diseases to achieve the best curative effect. Remote control and precision operation will be a direction of development in future.

Citation： LIU Xiuquan, ZHANG Xinyu. Recent advances in laparoscopic splenectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(1): 113-117. doi: 10.7507/1007-9424.201706117 Copy

1.	Delaitre B, Maignien B, Icard P. Laparoscopic splenectomy. Br J Surg, 1992, 79(12): 1334.
2.	许红兵, 萧荫祺, 李为民, 等. 电视腹腔镜脾切除 1 例报告. 内镜外科杂志, 1994, 1(增刊): 293.
3.	Habermalz B, Sauerland S, Decker G, et al. Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). Surg Endosc, 2008, 22(4): 821-848.
4.	Pfluke JM, Parker M, Stauffer JA, et al. Laparoscopic surgery performed through a single incision: a systematic review of the current literature. J Am Coll Surg, 2011, 212(1): 113-118.
5.	Gamme G, Birch DW, Karmali S. Minimally invasive splenectomy: an update and review. Can J Surg, 2013, 56(4): 280-285.
6.	Boone BA, Wagner P, Ganchuk E, et al. Single-incision laparoscopic splenectomy: preliminary experience in consecutive patients and comparison to standard laparoscopic splenectomy. Surg Endosc, 2013, 27(2): 587-592.
7.	Fan Y, Wu SD, Kong J, et al. Feasibility and safety of single-incision laparoscopic splenectomy: a systematic review. J Surg Res, 2014, 186(1): 354-362.
8.	沈雄山, 晏华军, 刘宁, 等. 腹腔镜脾切除术 63 例临床分析. 中国普外基础与临床杂志, 2014, 21(3): 349-351.
9.	Yu H, Guo S, Wang L, et al. Laparoscopic splenectomy and esophagogastric devascularization for liver cirrhosis and portal hypertension is a safe, effective, and minimally invasive operation. J Laparoendosc Adv Surg Tech A, 2016, 26(7): 524-530.
10.	杨帅帅, 李海玲, 武德旺, 等. 完全 3D 腹腔镜与开腹手术治疗门脉高压症的对比研究. 腹腔镜外科杂志, 2017, 22(2): 119-122.
11.	胡朝辉, 彭永海, 陈思瑞. 腹腔镜部分脾切除术应用及体会(附 11 例分析). 中国普外基础与临床杂志, 2016, 23(4): 458-461.
12.	汤晓东, 刘双海, 陈达伟, 等. 腹腔镜脾脏部分切除术 13 例. 中华肝胆外科杂志, 2016, 22(9): 623-625.
13.	潘飞, 郎韧, 俞亮, 等. 腹腔镜脾部分切除术(附八例报告). 腹部外科, 2015, 28(6): 415-418.
14.	ee WF, Wu SC, Yong CC, et al. Hand-assisted laparoscopic splenectomy--preliminary experience in southern Taiwan. Chang Gung Med J, 2010, 33(1): 67-72.
15.	Okano K, Kakinoki K, Suto H, et al. Hand-assisted laparoscopic partial splenectomy using an endopath monopolar sealer. Surg Laparosc Endosc Percutan Tech, 2011, 21(6): e291-e294.
16.	Su CH, Yin TC, Huang CJ, et al. Laparoscopic splenectomy for splenomegaly using a homemade retrieval BAG. Wideochir Inne Tech Maloinwazyjne, 2013, 8(4): 327-333.
17.	Fisichella PM, Wong YM, Pappas SG, et al. Laparoscopic splenectomy: perioperative management, surgical technique, and results. J Gastrointest Surg, 2014, 18(2): 404-410.
18.	Hyodo M, Sata N, Koizumi M, et al. Laparoscopic splenectomy using pneumoperitoneum or gasless abdominal wall lifting: a 15-year single institution experience. Asian J Endosc Surg, 2012, 5(2): 63-68.
19.	蒋培强, 张威, 王英超, 等. 悬吊式单孔腹腔镜脾切除术 1 例报告. 腹腔镜外科杂志, 2015, 20(6): 467.
20.	马尔旦•马合木提, 米尔夏提•阿不都热西提, 吐尔洪江•吐逊, 等. 单孔与多孔腹腔镜脾切除术比较的 Meta 分析. 中华腔镜外科杂志(电子版), 2013, 6(6): 421-424.阮虎, 江志伟, 赵坤, 等. 达芬奇机器人系统在脾切除术中的应用.腹腔镜外科杂志, 2013, 18(12): 899-901.
21.	刘新农, 张锦航, 盛蕾, 等. 单孔与传统腹腔镜脾切除术临床效果的系统评价. 腹腔镜外科杂志, 2013, 18(6): 401-406.
22.	邵学谦. 单孔腹腔镜脾切除术与传统腹腔镜脾切除术的对照研究. 中国内镜杂志, 2014, 20(8): 805-807.
23.	Giulianotti PC, Buchs NC, Coratti A, et al. Robot-assisted treatment of splenic artery aneurysms. Ann Vasc Surg, 2011, 25(3): 377-383.
24.	Berelavichus SV, Smirnov AV, Ionkin DA, et al. Robot-assisted and laparoscopic partial splenectomy for nonparasitic cysts. Khirurgiia (Mosk), 2015, (7): 41-48.
25.	阮虎, 江志伟, 赵坤, 等. 达芬奇机器人系统在脾切除术中的应用[J]. 腹腔镜外科杂志, 2013, 18(12), 899-901.
26.	Giulianotti PC, Buchs NC, Addeo P, et al. Robot-assisted partial and total splenectomy. Int J Med Robot, 2011, 7(4): 482-488.
27.	Weledji EP.Benefits and risks of splenectomy. Int J Surg, 2014, 12(2): 113-119.
28.	Rice HE, Crary SE, Langer JC, et al. Comparative effectiveness of different types of splenectomy for children with congenital hemolytic anemias. J Pediatr, 2012, 160(4): 684-689.e13.
29.	Feldman LS. Laparoscopic splenectomy: standardized approach. World J Surg, 2011, 35(7): 1487-1495.
30.	俞泽元, 龙勃, 郭凌云, 等. 经前入路完全腹腔镜脾切除术的临床应用. 中国普外基础与临床杂志, 2016, 23(11): 1389-1392.
31.	成剑, 洪德飞, 沈国樑, 等. 优化腹腔镜脾切除和贲门周围血管离断术的临床研究. 中华普通外科杂志, 2014, 29(3): 165-167.
32.	展翰翔, 胡三元. 腹腔镜脾切除术的要点与难点. 腹腔镜外科杂志, 2016, 21(8): 567-569.
33.	郑直, 段鑫, 王勇, 等. 腹腔镜脾切除术的并发症及其防治. 腹部外科, 2014, 27(3): 176-178.
34.	余伍勇, 刘作金. 肝硬化门脉高压症行 LS 和 OS 术后并发症的 Meta 分析. 重庆医学, 2015, 44(5): 670-672, 675.
35.	李谦, 周大艳, 刘彬. 全腹腔镜脾切除术中出血原因的分析. 腹腔镜外科杂志, 2015, 20(3): 208-211.
36.	胡仁健, 秦红军, 程刚, 等. 腹腔镜下脾切除术的几点探讨. 肝胆胰外科杂志, 2015, 27(2): 143-145.
37.	向俊西, 刘学民, 刘鹏, 等. 腹腔镜脾切除术门静脉系统血栓形成和中转开腹的危险因素分析. 腹部外科, 2015, 28(6): 389-393.
38.	Montalvo J, Velazquez D, Pantoja JP, et al. Laparoscopic splenectomy for primary immune thrombocytopenia: clinical outcome and prognostic factors. J Laparoendosc Adv Surg Tech A, 2014, 24(7): 466-470.
39.	薛红娣, 刘双海, 陈胜, 等. 腹腔镜和开腹脾切除术的临床疗效比较: 附视频. 中华普通外科学文献(电子版), 2016, 10(2): 125-128.
40.	陈亚希, 修典荣, 原春辉, 等. 腹腔镜部分脾与全脾切除术治疗脾良性占位性病变. 中华普通外科杂志, 2017, 32(2): 105-107.
41.	Gamme G, Birch DW, Karmali S. Minimally invasive splenectomy: an update and review. Can J Surg, 2013, 56(4): 280-285.
42.	黄军伟, 洪明, 阎雄. 腹腔镜脾切除术的研究进展. 中国微创外科杂志, 2014, 14(2): 176-179.

1. Delaitre B, Maignien B, Icard P. Laparoscopic splenectomy. Br J Surg, 1992, 79(12): 1334.
2. 许红兵, 萧荫祺, 李为民, 等. 电视腹腔镜脾切除 1 例报告. 内镜外科杂志, 1994, 1(增刊): 293.
3. Habermalz B, Sauerland S, Decker G, et al. Laparoscopic splenectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). Surg Endosc, 2008, 22(4): 821-848.
4. Pfluke JM, Parker M, Stauffer JA, et al. Laparoscopic surgery performed through a single incision: a systematic review of the current literature. J Am Coll Surg, 2011, 212(1): 113-118.
5. Gamme G, Birch DW, Karmali S. Minimally invasive splenectomy: an update and review. Can J Surg, 2013, 56(4): 280-285.
6. Boone BA, Wagner P, Ganchuk E, et al. Single-incision laparoscopic splenectomy: preliminary experience in consecutive patients and comparison to standard laparoscopic splenectomy. Surg Endosc, 2013, 27(2): 587-592.
7. Fan Y, Wu SD, Kong J, et al. Feasibility and safety of single-incision laparoscopic splenectomy: a systematic review. J Surg Res, 2014, 186(1): 354-362.
8. 沈雄山, 晏华军, 刘宁, 等. 腹腔镜脾切除术 63 例临床分析. 中国普外基础与临床杂志, 2014, 21(3): 349-351.
9. Yu H, Guo S, Wang L, et al. Laparoscopic splenectomy and esophagogastric devascularization for liver cirrhosis and portal hypertension is a safe, effective, and minimally invasive operation. J Laparoendosc Adv Surg Tech A, 2016, 26(7): 524-530.
10. 杨帅帅, 李海玲, 武德旺, 等. 完全 3D 腹腔镜与开腹手术治疗门脉高压症的对比研究. 腹腔镜外科杂志, 2017, 22(2): 119-122.
11. 胡朝辉, 彭永海, 陈思瑞. 腹腔镜部分脾切除术应用及体会(附 11 例分析). 中国普外基础与临床杂志, 2016, 23(4): 458-461.
12. 汤晓东, 刘双海, 陈达伟, 等. 腹腔镜脾脏部分切除术 13 例. 中华肝胆外科杂志, 2016, 22(9): 623-625.
13. 潘飞, 郎韧, 俞亮, 等. 腹腔镜脾部分切除术(附八例报告). 腹部外科, 2015, 28(6): 415-418.
14. ee WF, Wu SC, Yong CC, et al. Hand-assisted laparoscopic splenectomy--preliminary experience in southern Taiwan. Chang Gung Med J, 2010, 33(1): 67-72.
15. Okano K, Kakinoki K, Suto H, et al. Hand-assisted laparoscopic partial splenectomy using an endopath monopolar sealer. Surg Laparosc Endosc Percutan Tech, 2011, 21(6): e291-e294.
16. Su CH, Yin TC, Huang CJ, et al. Laparoscopic splenectomy for splenomegaly using a homemade retrieval BAG. Wideochir Inne Tech Maloinwazyjne, 2013, 8(4): 327-333.
17. Fisichella PM, Wong YM, Pappas SG, et al. Laparoscopic splenectomy: perioperative management, surgical technique, and results. J Gastrointest Surg, 2014, 18(2): 404-410.
18. Hyodo M, Sata N, Koizumi M, et al. Laparoscopic splenectomy using pneumoperitoneum or gasless abdominal wall lifting: a 15-year single institution experience. Asian J Endosc Surg, 2012, 5(2): 63-68.
19. 蒋培强, 张威, 王英超, 等. 悬吊式单孔腹腔镜脾切除术 1 例报告. 腹腔镜外科杂志, 2015, 20(6): 467.
20. 马尔旦•马合木提, 米尔夏提•阿不都热西提, 吐尔洪江•吐逊, 等. 单孔与多孔腹腔镜脾切除术比较的 Meta 分析. 中华腔镜外科杂志(电子版), 2013, 6(6): 421-424.阮虎, 江志伟, 赵坤, 等. 达芬奇机器人系统在脾切除术中的应用.腹腔镜外科杂志, 2013, 18(12): 899-901.
21. 刘新农, 张锦航, 盛蕾, 等. 单孔与传统腹腔镜脾切除术临床效果的系统评价. 腹腔镜外科杂志, 2013, 18(6): 401-406.
22. 邵学谦. 单孔腹腔镜脾切除术与传统腹腔镜脾切除术的对照研究. 中国内镜杂志, 2014, 20(8): 805-807.
23. Giulianotti PC, Buchs NC, Coratti A, et al. Robot-assisted treatment of splenic artery aneurysms. Ann Vasc Surg, 2011, 25(3): 377-383.
24. Berelavichus SV, Smirnov AV, Ionkin DA, et al. Robot-assisted and laparoscopic partial splenectomy for nonparasitic cysts. Khirurgiia (Mosk), 2015, (7): 41-48.
25. 阮虎, 江志伟, 赵坤, 等. 达芬奇机器人系统在脾切除术中的应用[J]. 腹腔镜外科杂志, 2013, 18(12), 899-901.
26. Giulianotti PC, Buchs NC, Addeo P, et al. Robot-assisted partial and total splenectomy. Int J Med Robot, 2011, 7(4): 482-488.
27. Weledji EP.Benefits and risks of splenectomy. Int J Surg, 2014, 12(2): 113-119.
28. Rice HE, Crary SE, Langer JC, et al. Comparative effectiveness of different types of splenectomy for children with congenital hemolytic anemias. J Pediatr, 2012, 160(4): 684-689.e13.
29. Feldman LS. Laparoscopic splenectomy: standardized approach. World J Surg, 2011, 35(7): 1487-1495.
30. 俞泽元, 龙勃, 郭凌云, 等. 经前入路完全腹腔镜脾切除术的临床应用. 中国普外基础与临床杂志, 2016, 23(11): 1389-1392.
31. 成剑, 洪德飞, 沈国樑, 等. 优化腹腔镜脾切除和贲门周围血管离断术的临床研究. 中华普通外科杂志, 2014, 29(3): 165-167.
32. 展翰翔, 胡三元. 腹腔镜脾切除术的要点与难点. 腹腔镜外科杂志, 2016, 21(8): 567-569.
33. 郑直, 段鑫, 王勇, 等. 腹腔镜脾切除术的并发症及其防治. 腹部外科, 2014, 27(3): 176-178.
34. 余伍勇, 刘作金. 肝硬化门脉高压症行 LS 和 OS 术后并发症的 Meta 分析. 重庆医学, 2015, 44(5): 670-672, 675.
35. 李谦, 周大艳, 刘彬. 全腹腔镜脾切除术中出血原因的分析. 腹腔镜外科杂志, 2015, 20(3): 208-211.
36. 胡仁健, 秦红军, 程刚, 等. 腹腔镜下脾切除术的几点探讨. 肝胆胰外科杂志, 2015, 27(2): 143-145.
37. 向俊西, 刘学民, 刘鹏, 等. 腹腔镜脾切除术门静脉系统血栓形成和中转开腹的危险因素分析. 腹部外科, 2015, 28(6): 389-393.
38. Montalvo J, Velazquez D, Pantoja JP, et al. Laparoscopic splenectomy for primary immune thrombocytopenia: clinical outcome and prognostic factors. J Laparoendosc Adv Surg Tech A, 2014, 24(7): 466-470.
39. 薛红娣, 刘双海, 陈胜, 等. 腹腔镜和开腹脾切除术的临床疗效比较: 附视频. 中华普通外科学文献(电子版), 2016, 10(2): 125-128.
40. 陈亚希, 修典荣, 原春辉, 等. 腹腔镜部分脾与全脾切除术治疗脾良性占位性病变. 中华普通外科杂志, 2017, 32(2): 105-107.
41. Gamme G, Birch DW, Karmali S. Minimally invasive splenectomy: an update and review. Can J Surg, 2013, 56(4): 280-285.
42. 黄军伟, 洪明, 阎雄. 腹腔镜脾切除术的研究进展. 中国微创外科杂志, 2014, 14(2): 176-179.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Recent advances in laparoscopic splenectomy

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