[Choice of the method of surgical treatment of spleen disruption in combined and isolated abdominal trauma in terms of endosurgery].
The results of the treatment of 378 patients with severe combined (n=270) and isolated (n=108) close abdominal trauma with an injury of the spleen are analyzed. Overall lethality was 11.9% including 7.41% during the first 24 hours. Spleen-preserving surgery was performed in 150 patients, 98% of them had severe injuries of this organ. Splenectomy was performed in 228 patients. Ligation of splenic artery is the indispensable condition of spleen-saving surgery. The level of ligation was validated by the data of own 102 x-ray and 73 anatomic examinations. Optimal level of ligation is located in proximal and middle part of the splenic artery. Spleen-preserving surgeries (especially laparoscopic procedures) significantly reduced lethality, number of postoperative complications and hospital stay.
Alimov
A N
AN
Isaev
A F
AF
Safronov
E P
EP
Otlygin
Iu V
IuV
Useinov
E B
EB
Muradov
I U
IU
D000007:Abdominal Injuries / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000792:Angiography; D003657:Decision Making; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008026:Ligation / Q000379:methods; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D012421:Rupture; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D013156:Splenectomy; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000601:surgery; D015996:Survival Rate; D016896:Treatment Outcome