Li Kai,Zhou Ling,Liu Yanfang,et al.Efficacy of lapaoscopic splenic arteriovenous ligation for hereditary spherocytosis in children.[J].Journal of Clinical Pediatric Surgery,,17():783-786.
Efficacy of lapaoscopic splenic arteriovenous ligation for hereditary spherocytosis in children.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 10
Page:
783-786
Column:
论著
Date of publication:
2018-10-25
- Keywords:
- Laparoscopes; Splenic Arteriovenous Ligation; Spherocytosis; Hereditary; Child
- Document code:
- A
- Abstract:
- ObjectiveTo explore the efficacy and feasibility of lapaoscopic selective splenic arteriovenous ligation for hereditary spherocytosis in children.MethodsEight cases of hereditary spherocytosis underwent laparoscopic selective splenic ligation from June 2014 to December 2016.Splenic artery was ligated by using Hemolock,middle and inferior spenic veins were ligated selectively while short gastric artery and superior splenic vein were reserved.ResultsAll laparoscopic procedures were successful without open surgery.The average operative duration was 75(55-90) min,average volume of intraoperative bleeding 11(5-15) mL and average hospitalization time 9(7-10) days.There was no blood transfusion.During a followup period of 12-24 months,erythrocytes,platelets and leukocytes were restored to normal.And splenic infraction was detected by ultrasound in all children.ConclusionLaparoscopic selective ligation of splenic artery and vein for pediatric hereditary spherocytosis is simple,timesaving and miniinvasive procedure with minimal bleeding.Capable of preserving splenic immune function with a definite efficacy,it may be used as an alternative therapy for HS splenectomy and selective splenic embolization.
Last Update:
2018-10-24