Y. He1, G. Chen1, G. Li1, L. Zou1 1Guangdong hospital of TCM,Zhuhai Campus,GUANGZHOU, GUANGDONG, China
Introduction: To analyze the feasibility and safety of utilizing 3D laparoscopy in spleen repair surgery in acute grade ? /?? traumatic spleen rupture.
Methods: Retrospective analyze 6 patients with acute impatent abdominal trauma which confirmed grade ?/? traumatic spleen rupture by 3D laparoscopy exploration, and treated with laparoscopic spleen repairment by suture in our center from January 2017 to June2018. We analyzed the parameters of perioperative period and summarized the operative experience.
Results: One patient composed with liver rupture while another with jejunum rupture. All repairments of spleen and other organ by suture under 3D laparoscopy were successfully completed without conversion to splenectomy or open surgery. No patient suffered from postoperative intrabdominal bleeding or need secondary abdominal exploration. The average time for spleen repairment is 24±13min, average amount of abdominal drainage in the first 24hours after surgery is 55±33ml, and average postoperative hospitalization days are 6±2.5 day.
Conclusion: 3D laparoscopy providing more magnified view and guarantee more accurative manipulation which make spleen repairment by suture feasible and safe in a less invasive way for grade ?/? traumatic spleen rupture. Also, any other composing intrabdominal organ impairment is feasible to detect and manipulate with 3D laparoscopy.