Emergency laparoscopic splenectomy for the treatment of traumatic splenic rupture

Abstract

Objective To investigate the indications and clinical effect of emergency laparoscopic splenectomy for traumatic splenic rupture. Methods Clinical data of 30 traumatic splenic rupture patients undergoing emergency laparoscopic splenectomy from Aug 2011 to Mar 2016 in our hospital were analyzed retrospectively. Results All patients were of simple traumatic spleen rupture without combined injuries. There were 2 cases of grade Ⅱ (6.7%), 17 cases of grade Ⅲ (56.7%), 10 cases of grade Ⅳ (33.3%), 1 case of grade Ⅴ (3.3%). 28 cases underwent successful laparoscopic splenectomy and 2 cases were converted to open surgery. 22 cases used intraoperative autologous blood transfusion (73.3%), 19 cases received blood transfusion (63.3%), average perioperative blood loss were(1 791±643)ml, operation time were(135±51)min, postoperative fasting time was(2.7±1.8)d, postoperative hospital stay was(8±5)d. The overall postoperative morbidity rate was 20% (6/30), including pancreatic leakage in one, pleural effusions in 2, infections in 3. There were no operative mortality and other serious complications. Conclusions Emergency laparoscopic splenectomy is minimally invasive with faster recovery, less complication and shorter hospital stay. Key words: Splenic rupture; Laparoscopes; Splenectomy