Clinical application of laparoscopic spleen-preserving operation in traumatic spleen rupture.
OBJECTIVE
To evaluate the effect of laparoscopic spleen-preserving operation for traumatic spleen rupture.


METHODS
From 1997 to 2003, 15 cases of traumatic spleen rupture were treated with laparoscopic spleen-preserving operation in our hospital. Nine cases had operation history in the middle and lower abdomen. ZT binding, electrocoagulation, fibrin and gelfoam tamping and suture repairing were used in patients with spleen rupture of grade I and grade II. Combined hemostasis was used for spleen rupture of grade III.


RESULTS
All patients did not need laparotomy during operation and no postoperative bleeding occurred. They were all cured and followed up for 3-12 months. Determination of immunoglobulins after operation showed normal, and spleen ultrasonic examination, CT and body state evaluations were all satisfactory.


CONCLUSIONS
Laparoscopy in the management of spleen trauma can be used in confirmed diagnosis and in determining the degree of spleen injury. For patients with stable vital signs laparoscopic spleen-preserving operation can be used. The laparoscopic spleen-preserving operation is safe in the treatment of traumatic spleen rupture.
Shen
Han-bin
HB
Department of Endoscopic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. shbsqj@yahoo.com.cn
Lu
Xiao-ming
XM
Zheng
Qi-chang
QC
Cai
Xiao-tang
XT
Zhou
Hong
H
Fei
Ke-li
KL
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006398:Hematocele / Q000209:etiology; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D013161:Splenic Rupture / Q000601:surgery*; D016896:Treatment Outcome