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.部分脾切除術的有關技術.中華肝膽外科雜志, 2009, 15(3): 233-236.
2.	曹峻, 邰沁文, 谷昊, 等.二級脾蒂離斷法在腹腔鏡脾切除術中的臨床應用.中華腔鏡外科雜志:電子版, 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.我國脾臟外科的發展回顧.中國實用外科雜志, 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, Due?as-Ramírez JC, et al. Treatment of splenic cyst by laparoscopic partial splenectomy: case report. Cir Cir, 2010, 78(1): 83-85.
8.	吳鈞, 張平, 王蒙, 等.腹腔鏡脾切除術治療遺傳性球形紅細胞增多癥(附18例報道).中國普外基礎與臨床雜志, 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.	李景鏵.射頻輔助脾部分切除術治療-脾臟良性腫瘤的療效及對免疫功能的影響.南昌大學學報:醫學版, 2014, 54(11): 72-74, 93.
14.	莫鋒, 蔡輝華, 陳學敏, 等.超聲刀聯合雙極電凝在腹腔鏡脾臟部分切除術中的應用.中華肝膽外科雜志, 2014, 20(10): 756-757.
15.	張國梁, 管榮祥, 周輝輝.非寄生蟲性脾囊腫10例診治分析.中國民族民間醫藥, 2013, 22(23): 165-166.
16.	馬寧, 汪謙.腹腔鏡部分脾切除術的臨床研究進展.中華普通外科學文獻:電子版, 2013, 7(2): 130-132.
17.	李強輝, 周維模, 龍雪峰, 等.腹腔鏡脾切除術治療兒童地中海貧血23例.中華臨床醫師雜志:電子版, 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.	桑宏陽, 李宏.腹腔鏡脾臟部分切除術的臨床應用(附3例報告).現代實用醫學, 2014, 26(2): 172-173.
20.	李智飛, 修典榮, 蔣斌, 等.腹腔鏡脾臟部分切除術(附6例報告).中華微創外科雜志, 2013, 13(3): 224-227.
21.	劉瑞文, 張明華, 朱健, 等.腹腔鏡巨脾切除中轉開腹手術原因分析.腹腔鏡外科雜志, 2010, 15(12): 918-919.
22.	袁寅, 高軍業, 臧金鋒, 等.腹腔鏡下脾切除術56例分析.中國微創外科雜志, 2015, 15(2): 167-169.
23.	黃飛, 盧榜裕, 蔡小勇, 等.腹腔鏡脾切除(附20例報告).中國內鏡雜志, 2005, 11(11): 1150-1152, 1159.
24.	沈雄山, 晏華軍, 劉寧, 等.腹腔鏡脾切除術63例臨床分析.中國普外基礎與臨床雜志, 2014, 21(3): 349-351.
25.	楊恩, 吳鋒, 肖體現, 等.腹腔鏡技術在治療外傷性脾破裂中的臨床應用.中國普外基礎與臨床雜志, 2014, 21(12): 1570-1572.
26.	孫備, 姜洪池, 許軍.經典式全脾切除及部分脾切除的規范操作.中國實用外科雜志, 2004, 24(12): 766-768.
27.	吳寶強, 孫冬林, 江勇, 等.腹腔鏡脾部分切除術治療脾臟良性腫瘤的臨床療效.中華消化外科雜志, 2014, 13(12): 977-978.

1. 麻勇, 姜洪池.部分脾切除術的有關技術.中華肝膽外科雜志, 2009, 15(3): 233-236.
2. 曹峻, 邰沁文, 谷昊, 等.二級脾蒂離斷法在腹腔鏡脾切除術中的臨床應用.中華腔鏡外科雜志:電子版, 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.我國脾臟外科的發展回顧.中國實用外科雜志, 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, Due?as-Ramírez JC, et al. Treatment of splenic cyst by laparoscopic partial splenectomy: case report. Cir Cir, 2010, 78(1): 83-85.
8. 吳鈞, 張平, 王蒙, 等.腹腔鏡脾切除術治療遺傳性球形紅細胞增多癥(附18例報道).中國普外基礎與臨床雜志, 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. 李景鏵.射頻輔助脾部分切除術治療-脾臟良性腫瘤的療效及對免疫功能的影響.南昌大學學報:醫學版, 2014, 54(11): 72-74, 93.
14. 莫鋒, 蔡輝華, 陳學敏, 等.超聲刀聯合雙極電凝在腹腔鏡脾臟部分切除術中的應用.中華肝膽外科雜志, 2014, 20(10): 756-757.
15. 張國梁, 管榮祥, 周輝輝.非寄生蟲性脾囊腫10例診治分析.中國民族民間醫藥, 2013, 22(23): 165-166.
16. 馬寧, 汪謙.腹腔鏡部分脾切除術的臨床研究進展.中華普通外科學文獻:電子版, 2013, 7(2): 130-132.
17. 李強輝, 周維模, 龍雪峰, 等.腹腔鏡脾切除術治療兒童地中海貧血23例.中華臨床醫師雜志:電子版, 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. 桑宏陽, 李宏.腹腔鏡脾臟部分切除術的臨床應用(附3例報告).現代實用醫學, 2014, 26(2): 172-173.
20. 李智飛, 修典榮, 蔣斌, 等.腹腔鏡脾臟部分切除術(附6例報告).中華微創外科雜志, 2013, 13(3): 224-227.
21. 劉瑞文, 張明華, 朱健, 等.腹腔鏡巨脾切除中轉開腹手術原因分析.腹腔鏡外科雜志, 2010, 15(12): 918-919.
22. 袁寅, 高軍業, 臧金鋒, 等.腹腔鏡下脾切除術56例分析.中國微創外科雜志, 2015, 15(2): 167-169.
23. 黃飛, 盧榜裕, 蔡小勇, 等.腹腔鏡脾切除(附20例報告).中國內鏡雜志, 2005, 11(11): 1150-1152, 1159.
24. 沈雄山, 晏華軍, 劉寧, 等.腹腔鏡脾切除術63例臨床分析.中國普外基礎與臨床雜志, 2014, 21(3): 349-351.
25. 楊恩, 吳鋒, 肖體現, 等.腹腔鏡技術在治療外傷性脾破裂中的臨床應用.中國普外基礎與臨床雜志, 2014, 21(12): 1570-1572.
26. 孫備, 姜洪池, 許軍.經典式全脾切除及部分脾切除的規范操作.中國實用外科雜志, 2004, 24(12): 766-768.
27. 吳寶強, 孫冬林, 江勇, 等.腹腔鏡脾部分切除術治療脾臟良性腫瘤的臨床療效.中華消化外科雜志, 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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