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- Title
腹腔镜下脾脏部分切除术治疗儿童脾脏肿瘤.
- Authors
向强兴; 李勇; 刘登辉; 唐湘莲; 黎明
- Abstract
Objective To explore the safety and feasibility of laparoscopic partial splenectomy for splenic tumors in children. Methods From August 2012 to August 2022, clinical data were retrospectively reviewed for 8 hospitalized children undergoing laparoscopic partial splenectomy. Results Laparoscopic partial splenectomy was successfully performed in all 8 cases without any conversion into open surgery.There were upper splenectomy (n=2), lower splenectomy (n=5) and interrupted splenectomy (n=1).Median age was 129(82-184) months, maximal tumor diameter (7.7±4.1) cm, operative duration (230.9±58.2) min, intraoperative blood loss (162.5±145.8) mL and postoperative hospital stay (9.6±2.3) days.Postoperative abdominal hemorrhage improved in 1 case after such symptomatic conservative measures as blood transfusion and hemostasis.Platelet elevation occurred in 2 cases and oral dipyridamole tablets were given to prevent thrombosis.And platelet normalized at 1 month post-operation; Postoperative pathologies included splenic cysts (n=4), lymphangiomas (n=3) and hemangioma (n=1).There were no postoperative complications such as infection, venous thrombosis or residual splenic infarction.No tumor recurrence occurred during a follow-up period of 6 to 24 months. Conclusion Laparoscopic partial splenectomy is both safe and feasible benign splenic tumors in children.It may preserve the function of normal spleen.A proper intraoperative management of secondary splenic pedicle is essential.
- Publication
Journal of Clinical Pediatric Surgery, 2023, Vol 22, Issue 1, p28
- ISSN
1671-6353
- Publication type
Article
- DOI
10.3760/cma.j.cn101785-202210065-006