Abstract:Objective:To investigate the value of applying the procedure of laparoscopic splenectomy (LS) in open splenectomy.
Methods:We summarized the features of LS and designed an improved procedure of open splenectomy. Sixty-one cases were divided into traditional splenectomy group(TS) and improved splenectomy group(IS). The operation time(OT), volume of bleeding during splenectomy(VB), anount of drainage of first day after operation(DF), length of hospital stay after operation(LS) and operation cost(OC) were compared between the 2 groups.
Results:Traditional group: OT(97.3±23.6)min, VB(264.4±466)mL and DF(285.5±76.5)mL. Improved group: OT(52±13.7)min, VB(105.0±31.0)mL and DF(110.3±39.5)mL; there was significant difference between the 2 groups in OT,VB and DF. There were no cases with severe bleeding or pancreatic fistula in improved group. The improved group had higher OC(P<0.05). There was no difference in LS(P>0.05).
Conclusions:Improved open splenectomy has a certain advantage in operation time and blood loss. This experience suggests that with the use of advanced surgical instruments, open splenectomy can be performed with the concept of mininal trauma.