title: Emergency laparoscopic partial splenectomy for ruptured spleen: a case report.
abstract: Splenic rupture is a common consequence of blunt abdominal trauma. Emergency splenectomy is indicated when conservative management is not effective. With better understanding of the immunologic function of the spleen, surgeons have begun to perform the splenic-preserving surgery. However, it is technical challenge to perform emergency laparoscopic partial splenectomy for patient with spleen rupture. A 15-year-old male patient suffered from grade III spleen injury basing on the American association for the surgery of trauma splenic injury scale. Conservative treatment failed to success basing on the dramatically decreased hemoglobin level. During the laparoscopic exploration, we found that two individual ruptures were associated with the upper pole of spleen. An emergency laparoscopic partial splenectomy was successfully carried out. The operative time was approximate 150 min and the estimated blood loss was 200 mL. The post-operative course was uneventful and the patient was discharged on the 7(th) post-operative day.
authors.affiliation: Yun-Qiang Cai, Chun-Lin Li, Hua Zhang, Xin Wang, Bing Peng, Department of Hepatopancreatobiliary Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Yun-Qiang
authors.initials: YQ
authors.lastname: Cai
authors.affiliation: Yun-Qiang Cai, Chun-Lin Li, Hua Zhang, Xin Wang, Bing Peng, Department of Hepatopancreatobiliary Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Chun-Lin
authors.initials: CL
authors.lastname: Li
authors.affiliation: Yun-Qiang Cai, Chun-Lin Li, Hua Zhang, Xin Wang, Bing Peng, Department of Hepatopancreatobiliary Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Hua
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Yun-Qiang Cai, Chun-Lin Li, Hua Zhang, Xin Wang, Bing Peng, Department of Hepatopancreatobiliary Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Wang
authors.affiliation: Yun-Qiang Cai, Chun-Lin Li, Hua Zhang, Xin Wang, Bing Peng, Department of Hepatopancreatobiliary Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Bing
authors.initials: B
authors.lastname: Peng
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D000293:Adolescent; D016063:Blood Loss, Surgical; D004630:Emergencies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D061646:Operative Time; D012861:Skating / Q000293:injuries*; D013156:Splenectomy / Q000379:methods*; D013161:Splenic Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*
keywords: Laparoscopy; Minimal invasive; Partial splenectomy; Splenic rupture; Splenic trauma