Xiang Qiangxing,Li Yong,Liu Denghui,et al.Retrospective analysis of laparoscopic partial splenectomy: results of 8 consecutive cases in children[J].Journal of Clinical Pediatric Surgery,,22():28-31.[doi:10.3760/cma.j.cn101785-202210065-006]
Retrospective analysis of laparoscopic partial splenectomy: results of 8 consecutive cases in children
- Keywords:
- Laparoscopes; Spleen; Neoplasms; Splenic pedicle; Surgical Procedures; Operative; Child
- Abstract:
- ObjectiveTo explore the safety and feasibility of laparoscopic partial splenectomy for splenic tumors in children.MethodsFrom August 2012 to August 2022,clinical data were retrospectively reviewed for 8 hospitalized children undergoing laparoscopic partial splenectomy.ResultsLaparoscopic partial splenectomy was successfully performed in all 8 cases without any conversion into open surgery.There were upper splenectomy (n=2),lower splenectomy (n=5) and interrupted splenectomy (n=1).Median age was 129(82-184) months,maximal tumor diameter (7.7±4.1) cm,operative duration (230.9±58.2) min,intraoperative blood loss (162.5±145.8) mL and postoperative hospital stay (9.6±2.3) days.Postoperative abdominal hemorrhage improved in 1 case after such symptomatic conservative measures as blood transfusion and hemostasis.Platelet elevation occurred in 2 cases and oral dipyridamole tablets were given to prevent thrombosis.And platelet normalized at 1 month post-operation;Postoperative pathologies included splenic cysts (n=4),lymphangiomas (n=3) and hemangioma (n=1).There were no postoperative complications such as infection,venous thrombosis or residual splenic infarction.No tumor recurrence occurred during a follow-up period of 6 to 24 months.ConclusionLaparoscopic partial splenectomy is both safe and feasible benign splenic tumors in children.It may preserve the function of normal spleen.A proper intraoperative management of secondary splenic pedicle is essential.
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Memo
收稿日期:2022-10-31。
基金项目:国家临床重点专科建设项目-湖南省儿童医院小儿外科(湘卫医发[2022]2号);湖南省临床医疗技术创新引导项目(2020SK50501)
通讯作者:李勇,Email:liyongpuwaike@163.com