Volume 19 Issue 1
Jan.  2021
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YANG Yan-ru, WANG Lin, WU An-qi. Clinical effect and value of laparoscopic guided secondary spleen pedicle transection in patients with traumatic spleen injury[J]. Chinese Journal of General Practice, 2021, 19(1): 35-37, 58. doi: 10.16766/j.cnki.issn.1674-4152.001723
Citation: YANG Yan-ru, WANG Lin, WU An-qi. Clinical effect and value of laparoscopic guided secondary spleen pedicle transection in patients with traumatic spleen injury[J]. Chinese Journal of General Practice, 2021, 19(1): 35-37, 58. doi: 10.16766/j.cnki.issn.1674-4152.001723
shu

Clinical effect and value of laparoscopic guided secondary spleen pedicle transection in patients with traumatic spleen injury

doi: 10.16766/j.cnki.issn.1674-4152.001723
  • 1.

    Surgical Operating Room, The First Affiliated Hospital of Air Force Military Medical University, Xi'an, Shaanxi 710000

Funds:

 2018ZDXM-SF-061

  • Received Date: 2020-07-11
    Available Online: 2022-02-19
    Abstract
  •   Objective  To explore the clinical effect and value of laparoscopic guided secondary spleen pedicle transection in patients with traumatic spleen injury and to provide reference for clinical treatment of this kind of disease.   Methods  A total of 54 cases of traumatic splenic rupture in our hospital from May 2016 to May 2019 were selected as subjects and divided into the observation group and control group on the basis of the operation mode (27 cases in each group). The control group was treated with conventional laparotomy, whereas the observation group was treated with laparoscopy-guided secondary spleen pedicle transection. The average operation time, drainage tube indwelling time, intraoperative blood loss, postoperative exhaust time, average hospital stay, the incidence of complications in the short-term and one-year follow-up were recorded and analysed. Before discharge, treatment satisfaction was analysed by the current patient satisfaction questionnaire in the undergraduate department.   Results  The average operation time in the observation group of perioperative indicators was longer than that in the control group. The difference was statistically significant (P < 0.05). The average intraoperative blood loss, drainage tube indwelling time and postoperative exhaust time in the observation group were significantly shorter than those in the control group, which had statistically significant differences (all P < 0.05). The incidence of complications in the short-term postoperative and 1 year postoperative follow-up was significantly lower in the observation group than that in the control group, which had statistically significant differences (all P < 0.05). The total clinical treatment satisfaction of the observation group was higher than that of the control group, and the difference was significant (P < 0.05).   Conclusion  Compared with conventional open surgery, traumatic splenic injury in patients with laparoscopic guided secondary spleen pedicle transection has a better clinical effect. It significantly reduces intraoperative blood loss, drainage time, postoperative exhaust time, length of hospital stay, perioperative indicators, and postoperative complications and improves patient satisfaction, which is worth popularizing in clinical application.

     

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