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find Author "LI Xinlei" 1 results
  • Application Experience of Laparoscopic Splenectomy in Patients with Traumatic Splenic Rupture

    ObjectiveTo investigate the safety and feasibility of the treatment of laparoscopic splenectomy for patients with traumatic splenic rupture. MethodsBetween October 2006 and October 2009, 48 cases of traumatic splenic rupture underwent laparoscopic splenectomy were analyzed in this hospital. According to the differrent styles of splenic stalk, different operative methods were taken, including titanic clipping in 12 cases, titanic clipping combining silk suture ligation in 8 cases, snare combining titanic clipping in 10 cases, LigaSure in 8 cases, and EndoGIA in 8 cases. ResultsLaparoscopic splenectomy was successfully completed in 32 cases; Handassisted laparoscopic splenectomy was applied in 14 cases, and 2 cases were converted to laparotomy because of tight spleen adhesion with surrounding tissues and bleeding rupture of the short gastric vessels. The operation time was 120-170 min with an average 140 min; the estimated intraoperative amount of blood loss was 300-1 200 ml with an average 800 ml. No postoperative complication occurred such as gastric fistula, pancreatic fistula or hemorrhage. Conclusion According to the differrent styles of splenic stalk, individual operative method can improve mission success rate in the laparoscopic splenectomy in traumatic splenic rupture.

    Release date:2016-09-08 04:25 Export PDF Favorites Scan
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