Clinical application of laparoscopic spleen-preserving operation in traumatic spleen rupture

Trasapbuldemoemantei cnreas lsep csltyeieomnnpt o armsup.tthu eTrer abd eiissttio namael ct hothomdemr.aop nByu attac kutheteesmodern study of spleen surgery indicates that thespleen has an important physiological function.Afterspleen resection the ability of anti-infection of the bodywill descend,and overwhelming post-splenectomyinfection(OPSI)will be easily caused,especially ininfants whose immunologic function is not adequate orrobust.The rate of OPSI in infants is5%,the youngerthe infa…

Clinical application of laparoscopic spleen-preserving operation in traumatic spleen rupture

Objective: To evaluate the effect of laparoscopic spleen-preserving operation for traumatic spleen rupture. Methods: From 1997 to 2003, 15 cases of traumatic spleen rupture were treated with laparoscopic spleen-preserving operation in our hospital. Nine cases had operation history in the middle and lower abdomen. ZT binding, electrocoagulation, fibrin and gelfoam tamping and suture repairing were used in patients with spleen rupture of grade I and grade II. Combined hemostasis was used for spleen rupture of grade III. Results: All patients did not need laparotomy during operation and no postoperative bleeding occurred. They were all cured and followed up for 3-12 months. Determination of immunoglobulinis after operation showed normal, and spleen ultrasonic examination, CT and body state evaluations were all satisfactory. Conclusions: Laparoscopy in the management of spleen trauma can be used in confirmed diagnosis and in determining the degree of spleen injury. For patients with stable vital signs laparoscopic spleen-preserving operation can be used. The laparoscopic spleen-preserving operation is safe in the treatment of traumatic spleen rupture.