Application and Experience of Laparoscopic Partial Splenectomy: Report of 11 Cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 HUZhao-hui ,  PENGYong-hai , CHENSi-rui

Department of Hepatobiliary Surgery, Mianyang Centrol Hospital, Mianyang 621000, Sichuang Province, China;

Corresponding author：

PENGYong-hai, Email: seagull11@126.com

Keywords：

Laparoscope; Splenectomy; Effect

DOI：

10.7507/1007-9424.20160121

Video：

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Objective To explore the clinical efficacy and experience of laparoscopic partial splenectomy. Methods The clinical data of 11 cases of splenic space occupying lesions in the author's hospital from January 2011 to May 2014 were retrospectively analyzed. Laparoscopic partial splenectomy were carried out in 11 patients. Results Eleven patients were successfully completed the laparoscopic partial resection of spleen. Operative timewas 2.0-3.5 h, the average operative time was (2.5±0.3) h. Intraoperative blood loss was 155-320 mL, the average blood loss was (200.3±55.1) mL. Eleven patients who ride smoothly, there was no case of pancreatic injury, gastrointestinal injury, major bleeding and other complications. Postoperative patients recovered well, 24 h after operation gastrointestinal function recovery, and can get out of bed activities. Silicone drainage tube placement time was 3-5 d, the average for placing time was (4.0±1.3) d. about 60-100 mL, the average (70.3±15.8) mL. The average length in hospital was 5-8 d, patients with an average of (6.3±1.5) d, all of the patients without postoperative complications such as infection, splenic infarction. Postoperative pathologic results suggested 6 cases were spleen hemangioma, 3 cases were pseudocyst of spleen, and 2 cases were true epithelial cyst. Conciusions Laparoscopic partial spleen resection should fully grasp the operative indication, fully understand the pathological changes and the structure of door of the spleen, in earnest and patient, under the operation of laparoscopic spleen resection is safe, feasible, and the clinical curative effect is satisfied, worthy of clinical popularization and application.

Citation： HUZhao-hui, PENGYong-hai, CHENSi-rui. Application and Experience of Laparoscopic Partial Splenectomy: Report of 11 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(4): 458-461. doi: 10.7507/1007-9424.20160121 Copy

1.	麻勇, 姜洪池.部分脾切除术的有关技术.中华肝胆外科杂志, 2009, 15(3): 233-236.
2.	曹峻, 邰沁文, 谷昊, 等.二级脾蒂离断法在腹腔镜脾切除术中的临床应用.中华腔镜外科杂志:电子版, 2014, 7(3): 189-191.
3.	Lynch AM, Kapila R. Overwhelming postsplenectomy infection. Infect Dis Clin North Am, 1996, 10(4): 693-707.
4.	夏穗生.我国脾脏外科的发展回顾.中国实用外科杂志, 2004, 24(12): 705-707．.
5.	Petroianu A, Resende V, Da Silva RG. Late follow-up of patients submitted to subtotal splenectomy. Int J Surg, 2006, 4(3): 172-178．.
6.	Tagaya N, Hamada K, Kubota K. Laparoscopic splenectomy for recurrent splenic cyst after laparoscopic marsupialization. Surg Laparosc Endosc Percutan Tech, 2007, 17(5): 465-468.
7.	García-Hernández C, Carvajal-Figueroa L, Dueñas-Ramírez JC, et al. Treatment of splenic cyst by laparoscopic partial splenectomy: case report. Cir Cir, 2010, 78(1): 83-85.
8.	吴钧, 张平, 王蒙, 等.腹腔镜脾切除术治疗遗传性球形红细胞增多症(附18例报道).中国普外基础与临床杂志, 2009, 16(11): 928-929.
9.	Tracy ET, Haas KM, Gentry T, et al. Partial splenectomy but not total splenectomy preserves immunoglobulin M memory B cells in mice. J Pediatr Surg, 2011, 46(9): 1706-1710.
10.	Kaiwa Y, Kurokawa Y, Namiki K, et al. Laparoscopic partial splenec tomies for true splenic cysts, A report of two cases. Surg Endosc, 2000, 14(10): 865-870．.
11.	Keckler SJ, Peter SD, Tsao K, et al. Laparoscopic excision of splenic cysts: a comparison to the open approach. Eur J Pediatr Surg, 2010, 20(5): 287-289.
12.	Fan H, Zhang D, Zhao X, et al. Laparoscopic partial splenectomy for large splenic epidermoid cyst. Chin Med J (Engl), 2011, 124(11): 1751-1753.
13.	李景铧.射频辅助脾部分切除术治疗-脾脏良性肿瘤的疗效及对免疫功能的影响.南昌大学学报:医学版, 2014, 54(11): 72-74, 93.
14.	莫锋, 蔡辉华, 陈学敏, 等.超声刀联合双极电凝在腹腔镜脾脏部分切除术中的应用.中华肝胆外科杂志, 2014, 20(10): 756-757.
15.	张国梁, 管荣祥, 周辉辉.非寄生虫性脾囊肿10例诊治分析.中国民族民间医药, 2013, 22(23): 165-166.
16.	马宁, 汪谦.腹腔镜部分脾切除术的临床研究进展.中华普通外科学文献:电子版, 2013, 7(2): 130-132.
17.	李强辉, 周维模, 龙雪峰, 等.腹腔镜脾切除术治疗儿童地中海贫血23例.中华临床医师杂志:电子版, 2011, 5(17): 5203-5204.
18.	Louis D, Duc ML, Reix P, et al. Partial splenectomy for portal hypertension in cystic fibrosis related liver disease. Pediatric Pulmonology, 2007, 42(12): 1173-1180.
19.	桑宏阳, 李宏.腹腔镜脾脏部分切除术的临床应用(附3例报告).现代实用医学, 2014, 26(2): 172-173.
20.	李智飞, 修典荣, 蒋斌, 等.腹腔镜脾脏部分切除术(附6例报告).中华微创外科杂志, 2013, 13(3): 224-227.
21.	刘瑞文, 张明华, 朱健, 等.腹腔镜巨脾切除中转开腹手术原因分析.腹腔镜外科杂志, 2010, 15(12): 918-919.
22.	袁寅, 高军业, 臧金锋, 等.腹腔镜下脾切除术56例分析.中国微创外科杂志, 2015, 15(2): 167-169.
23.	黄飞, 卢榜裕, 蔡小勇, 等.腹腔镜脾切除(附20例报告).中国内镜杂志, 2005, 11(11): 1150-1152, 1159.
24.	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.
25.	杨恩, 吴锋, 肖体现, 等.腹腔镜技术在治疗外伤性脾破裂中的临床应用.中国普外基础与临床杂志, 2014, 21(12): 1570-1572.
26.	孙备, 姜洪池, 许军.经典式全脾切除及部分脾切除的规范操作.中国实用外科杂志, 2004, 24(12): 766-768.
27.	吴宝强, 孙冬林, 江勇, 等.腹腔镜脾部分切除术治疗脾脏良性肿瘤的临床疗效.中华消化外科杂志, 2014, 13(12): 977-978.

1. 麻勇, 姜洪池.部分脾切除术的有关技术.中华肝胆外科杂志, 2009, 15(3): 233-236.
2. 曹峻, 邰沁文, 谷昊, 等.二级脾蒂离断法在腹腔镜脾切除术中的临床应用.中华腔镜外科杂志:电子版, 2014, 7(3): 189-191.
3. Lynch AM, Kapila R. Overwhelming postsplenectomy infection. Infect Dis Clin North Am, 1996, 10(4): 693-707.
4. 夏穗生.我国脾脏外科的发展回顾.中国实用外科杂志, 2004, 24(12): 705-707．.
5. Petroianu A, Resende V, Da Silva RG. Late follow-up of patients submitted to subtotal splenectomy. Int J Surg, 2006, 4(3): 172-178．.
6. Tagaya N, Hamada K, Kubota K. Laparoscopic splenectomy for recurrent splenic cyst after laparoscopic marsupialization. Surg Laparosc Endosc Percutan Tech, 2007, 17(5): 465-468.
7. García-Hernández C, Carvajal-Figueroa L, Dueñas-Ramírez JC, et al. Treatment of splenic cyst by laparoscopic partial splenectomy: case report. Cir Cir, 2010, 78(1): 83-85.
8. 吴钧, 张平, 王蒙, 等.腹腔镜脾切除术治疗遗传性球形红细胞增多症(附18例报道).中国普外基础与临床杂志, 2009, 16(11): 928-929.
9. Tracy ET, Haas KM, Gentry T, et al. Partial splenectomy but not total splenectomy preserves immunoglobulin M memory B cells in mice. J Pediatr Surg, 2011, 46(9): 1706-1710.
10. Kaiwa Y, Kurokawa Y, Namiki K, et al. Laparoscopic partial splenec tomies for true splenic cysts, A report of two cases. Surg Endosc, 2000, 14(10): 865-870．.
11. Keckler SJ, Peter SD, Tsao K, et al. Laparoscopic excision of splenic cysts: a comparison to the open approach. Eur J Pediatr Surg, 2010, 20(5): 287-289.
12. Fan H, Zhang D, Zhao X, et al. Laparoscopic partial splenectomy for large splenic epidermoid cyst. Chin Med J (Engl), 2011, 124(11): 1751-1753.
13. 李景铧.射频辅助脾部分切除术治疗-脾脏良性肿瘤的疗效及对免疫功能的影响.南昌大学学报:医学版, 2014, 54(11): 72-74, 93.
14. 莫锋, 蔡辉华, 陈学敏, 等.超声刀联合双极电凝在腹腔镜脾脏部分切除术中的应用.中华肝胆外科杂志, 2014, 20(10): 756-757.
15. 张国梁, 管荣祥, 周辉辉.非寄生虫性脾囊肿10例诊治分析.中国民族民间医药, 2013, 22(23): 165-166.
16. 马宁, 汪谦.腹腔镜部分脾切除术的临床研究进展.中华普通外科学文献:电子版, 2013, 7(2): 130-132.
17. 李强辉, 周维模, 龙雪峰, 等.腹腔镜脾切除术治疗儿童地中海贫血23例.中华临床医师杂志:电子版, 2011, 5(17): 5203-5204.
18. Louis D, Duc ML, Reix P, et al. Partial splenectomy for portal hypertension in cystic fibrosis related liver disease. Pediatric Pulmonology, 2007, 42(12): 1173-1180.
19. 桑宏阳, 李宏.腹腔镜脾脏部分切除术的临床应用(附3例报告).现代实用医学, 2014, 26(2): 172-173.
20. 李智飞, 修典荣, 蒋斌, 等.腹腔镜脾脏部分切除术(附6例报告).中华微创外科杂志, 2013, 13(3): 224-227.
21. 刘瑞文, 张明华, 朱健, 等.腹腔镜巨脾切除中转开腹手术原因分析.腹腔镜外科杂志, 2010, 15(12): 918-919.
22. 袁寅, 高军业, 臧金锋, 等.腹腔镜下脾切除术56例分析.中国微创外科杂志, 2015, 15(2): 167-169.
23. 黄飞, 卢榜裕, 蔡小勇, 等.腹腔镜脾切除(附20例报告).中国内镜杂志, 2005, 11(11): 1150-1152, 1159.
24. 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.
25. 杨恩, 吴锋, 肖体现, 等.腹腔镜技术在治疗外伤性脾破裂中的临床应用.中国普外基础与临床杂志, 2014, 21(12): 1570-1572.
26. 孙备, 姜洪池, 许军.经典式全脾切除及部分脾切除的规范操作.中国实用外科杂志, 2004, 24(12): 766-768.
27. 吴宝强, 孙冬林, 江勇, 等.腹腔镜脾部分切除术治疗脾脏良性肿瘤的临床疗效.中华消化外科杂志, 2014, 13(12): 977-978.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application and Experience of Laparoscopic Partial Splenectomy: Report of 11 Cases

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