Laparoscopic partial splenectomy for benign splenic neoplasms

Abstract

Objective To evaluate laparoscopic partial splenectomy (LPS) for benign splenic neoplasms. Methods From Sep 2016 to Aug 2017, 7 patents with splenic benign lesions underwent laparoscopic partial splenectomy, results were compared with 15 cases receiving total splenectomy. Results All the patients underwent laparoscopic total or partial splenectomy successfully without conversion. There was no statistic difference in operative time, intra-operative blood loss and transfusion between the two groups. However, the morbidity of LPS group was significant lower (χ2=17.679, P=0.000), and no thrombocytosis occurred in LPS patients. Additionally, the patients received LPS recovered quicker and the postoperative hospital stay was shorter (5.7±2.3) d vs. (15.3±3.4) d ( t=6.741, P=0.000 1) with a lower medical expenditure (19 288±2 760) Yuan vs. (27 737±4 626) Yuan (t=4.442, P=0.000 3). No thrombocytosis and recurrence were observed during follow up. Conclusions LPS is safe and effective to cure spleen benign lesions with quicker recovery and lower expenditure. Key words: Splenic diseases; Laparoscopes; Splenectomy