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首页> 外文期刊>Surgical Endoscopy >Laparoscopic partial splenectomy with temporary occlusion of the trunk of the splenic artery in fifty-one cases: experience at a single center
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Laparoscopic partial splenectomy with temporary occlusion of the trunk of the splenic artery in fifty-one cases: experience at a single center

机译：腹腔镜部分脾切除术，临时闭塞在五十一例的脾动脉躯干中：在一个中心的经验

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Background Laparoscopic partial splenectomy (LPS) for splenic benign space-occupying lesions has been reported by many researchers; however, few studies have described methods to control intraoperative bleeding. Trustworthy experience in LPS with a satisfactory intraoperative hemorrhage control technique is therefore necessary. The current study aims to present our experience in LPS with temporary occlusion of the trunk of the splenic artery for controlling intraoperative bleeding with a large sample of 51 cases and to evaluate the safety, feasibility, and reproducibility of this technique. Methods Fifty-one patients from August 2014 to April 2019 who underwent LPS in our institution were retrospectively analyzed. Surgical techniques were described in detail. Results All patients had successfully undergone LPS with temporary occlusion of the trunk of the splenic artery. Conversions to open surgery, hand-assisted laparoscopic splenectomies, or blood transfusions were not needed. The operative time was 94.75 +/- 18.91 min, the estimated blood loss was 71.13 +/- 53.87 ml, and the volume of resected spleen was 34.75 +/- 12.19%. The range of postoperative stays was 4-14 days. One female patient (2%, 1/51) suffered from postoperative complications. No perioperative mortality, incision infections, postoperative pancreatic fistulas (POPFs), splenic infarctions, or portal/splenic vein thromboembolic events occurred. Conclusion LPS is an effective spleen-preserving surgery. Although there are many other bleeding control methods, temporarily occluding the trunk of the splenic artery was found to be a safe, feasible, and reproducible technique in LPS. The outcomes of this technique and the efficacy of splenic parenchyma preservation are acceptable.
机译：背景：腹腔镜部分脾切除术（LPS）治疗脾脏良性占位性病变已被许多研究者报道；然而，很少有研究描述控制术中出血的方法。因此，有可靠的LPS经验和满意的术中出血控制技术是必要的。本研究旨在通过51例大样本病例，介绍我们在暂时阻断脾动脉主干以控制术中出血的LPS方面的经验，并评估该技术的安全性、可行性和可重复性。方法对2014年8月至2019年4月在我院接受LPS治疗的51例患者进行回顾性分析。详细描述了手术技术。结果所有患者均成功接受LPS治疗，脾动脉主干暂时闭塞。无需中转开腹手术、手助腹腔镜脾切除术或输血。手术时间为94.75+/-18.91分钟，估计失血量为71.13+/-53.87毫升，切除的脾脏体积为34.75+/-12.19%。术后住院时间为4-14天。1例女性患者（2%，1/51）出现术后并发症。未发生围手术期死亡率、切口感染、术后胰瘘（POPFs）、脾梗死或门静脉/脾静脉血栓栓塞事件。结论LPS是一种有效的保脾手术。虽然有许多其他的出血控制方法，但暂时阻断脾动脉主干被发现是一种安全、可行和可重复的LPS技术。这种技术的结果和脾实质保存的效果是可以接受的。

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