关键词: 外伤性脾破裂, 腹腔镜脾切除

Abstract: Objective To investigate the safety and feasibility of laparoscopic splenectomy（LS）for splenic traumatic rupture. Methods The clinical data of 63 cases with splenic traumatic rupture from March 2009 to August 2017 were analyzed retrospectively. Forty-eight cases underwent splenic artery ligation followed by the ligation of splenic pedicle by snare, 15 cases underwent secondary splenic pedicle dissection. Results Sixty cases underwent successfully LS, 3 cases required the conversion to laparotomy due to the splenic bleeding or the serious adhesion. The operative time was 60- 170 min with a mean time of 120 min, whilst the mean volume of blood loss was 100-800 ml with a mean volume of 400 ml. No complication such as hemorrhea, pancreatic fistula or thrombosis occurred following LS. Conclusion Splenic artery ligation followed by the ligation of splenic pedicle by snare or secondary splenic pedicle dissection in LS for splenic traumatic rupture is safe and feasible with the satisfactory effect, the minimal invasion, the rapid recovery, the short hospitalizing time, which is worth spreading in clinically.

Key words: laparoscopic splenectomy, splenic traumatic rupture