射频辅助脾部分切除术治疗脾良性占位性病变21例分析

Chinese Journal of Practical Surgery ›› 2014, Vol. 34 ›› Issue (02) : 176-178.

Chinese Journal of Practical Surgery ›› 2014, Vol. 34 ›› Issue (02) : 176-178.
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Abstract

The clinical applicaion analysis of taken radiofrequency assisted partial splenectomy operations on patients with benign splenic space-occupying lesions        XIAO Chang-wu*,QIU Rong,ZHANG Wei,LI Ning. *Department of Hepatobiliary Surgery,Suining Central Hospital,Suining 629000,China
Corresponding author:ZHANG Wei,E-mail:zw68229@sina.com
Abstract    Objective    To assess  the feasibility,safty and clinical practicalty value of taken radiofrequency assisted partial splenectomy operations on patients with benign splenic space-occupying lesions. Methods    The clinical data of 21 cases of taken radiofrequency assisted partial splenectomy operations on patients with benign splenic space-occupying lesions from September 2010 to February 2012 were retrospectively analyzed in Suining Central Hospital. These patients were the follows,Splenic non parasitic cysts in 11 cases,splenic hemangioma in 3 cases,splenic hematoma 5 cases,splenic epidermoid cyst in 1 cases,splenic abscess in 1 cases respectively. Results    All of operations were completed smoothly.The average operative time was (67.0±17.5)min and the average of intraoperative blood was (55.7±10.3)ml. Patients in this group had a transient increase of temperature,but the conventional treatment or observation decreased to normal level a few days later. The complication rate in this group was 9.5% (2/21),which 1 case of left pleural effusion,1 cases of splenic fossa effusion was observed after a few days,self absorption. The average duration of hospitalization was (10.0±3.5)d. All patients were followed up and the period of following-up were 1~24 months. During hospitalization and follow-up,no serious complications such as bleeding, abdominal abscess, and thrombosis occurred. No overwhelming postsplenectomy infection (OPSI) occurred,immunological examination showed normal spleen function in All patients. Conclusion    Taken radiofrequency assisted partial splenectomy operations on patients with benign splenic space-occupying lesions is feasible,safe and practical which should be developed extensively in clinic.

Key words

benign splenic space-occupying lesions / partial splenectomy / radio frequency

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