Clinical application of the transumbilical single-incision laparoscopic splenectomy: single center experience

doi:10.3877/cma.j.issn.1647-0793.2013.02.006

Abstract

Abstract:

Objective

To summarize the clinical experience of the transumbilical single-incision laparoscopic splenectomy and to improve the effectiveness and safety of laparoscopic splenic surgery.

Methods

From March 2010 to January 2013, 13 cases of transumbilical single-incision laparoscopic splenectomy were operated successfully, including 1 case with traumatic rupture of the spleen, 1 splenic artery aneurysm, 1 idiopathic thrombocytopenia, 1 congenital hemolytic anemia with gallbladder stone, 2 of splenic hemangioma, 2 of splenic cyst and 5 of hypersplenism secondary to portal hypertension.

Results

All the operations went smoothly with mean operation time of (165±41) min, mean blood loss (298±25.8) ml, and mean postoperative hospital stay (8.8±2.7) days. 1 patient had a postoperative complication with hemoperitoneum. No other complications occurred in this small series. All patients recovered well and had a cosmetic surgical incision.

Conclusion

Transumbilical single-incision laparoscopic splenectomy is safe and feasible for experienced laparoscopic surgeons.

Key words: Single-incision laparoscopy, Spleen disease, Splenectomy

Chao WENG, Shuo-dong WU, Ying FAN, Jing KONG. Clinical application of the transumbilical single-incision laparoscopic splenectomy: single center experience[J]. Chinese Archives of General Surgery(Electronic Edition), 2013, 07(02): 106-109.

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URL: https://zhptwkxwx.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1647-0793.2013.02.006

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Figures/Tables 1

References 13

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编号	年龄（岁）	性别	BMI （kg/m²）	疾病种类	手术时间（min）	失血量（ml）	术中输血	术后住院时间（d）	术后进流食时间（d）	切口长度(cm)	脾脏重量(kg)
1	17	男	18.6	外伤性脾破裂	170	800	红细胞4U，血浆400ml	8	3	3	1.5
2	51	男	22.5	门静脉高压，脾亢	235	500	红细胞4U，血浆400ml	?	?	3	2.3
3	45	女	23.4	脾动脉瘤	145	100	0	7	4	3	1.6
4	73	男	22.8	特发性血小板减少性紫癜	150	800	红细胞2U	9	4	3	2.2
5	52	男	23.2	门静脉高压，脾亢	200	100	冷沉淀4U	12	4	3	2.1
6	40	男	24.3	脾血管瘤	115	100	0	6	3	3	1.8
7	42	男	25.1	门静脉高压，脾亢	190	200	血小板200 ml	7	4	3	2.3
8	20	女	19.8	先天性溶血伴胆囊结石	125	20	0	7	2	3	2.1
9	36	男	26.6	脾血管瘤	125（120）	150（2000）	0(全血1450 ml，红细胞5.5 U)	9	3	3	2.0
10	46	男	23.6	门静脉高压，脾亢	200	400	0	10	4	3	2.1
11	52	女	26.3	脾囊肿	100	200	0	6	2	3	1.8
12	30	男	21.2	脾囊肿	200	300	0	7	3	3	1.6
13	44	男	26.6	门静脉高压，脾亢伴胆囊结石	195	200	0	15	4	3	2.4

编号	年龄（岁）	性别	BMI （kg/m²）	疾病种类	手术时间（min）	失血量（ml）	术中输血	术后住院时间（d）	术后进流食时间（d）	切口长度(cm)	脾脏重量(kg)
1	17	男	18.6	外伤性脾破裂	170	800	红细胞4U，血浆400ml	8	3	3	1.5
2	51	男	22.5	门静脉高压，脾亢	235	500	红细胞4U，血浆400ml	?	?	3	2.3
3	45	女	23.4	脾动脉瘤	145	100	0	7	4	3	1.6
4	73	男	22.8	特发性血小板减少性紫癜	150	800	红细胞2U	9	4	3	2.2
5	52	男	23.2	门静脉高压，脾亢	200	100	冷沉淀4U	12	4	3	2.1
6	40	男	24.3	脾血管瘤	115	100	0	6	3	3	1.8
7	42	男	25.1	门静脉高压，脾亢	190	200	血小板200 ml	7	4	3	2.3
8	20	女	19.8	先天性溶血伴胆囊结石	125	20	0	7	2	3	2.1
9	36	男	26.6	脾血管瘤	125（120）	150（2000）	0(全血1450 ml，红细胞5.5 U)	9	3	3	2.0
10	46	男	23.6	门静脉高压，脾亢	200	400	0	10	4	3	2.1
11	52	女	26.3	脾囊肿	100	200	0	6	2	3	1.8
12	30	男	21.2	脾囊肿	200	300	0	7	3	3	1.6
13	44	男	26.6	门静脉高压，脾亢伴胆囊结石	195	200	0	15	4	3	2.4

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