Clinical evaluation on three-dimensional laparoscopic splenectomy for massive splenomegaly secondary to liver cirrhosis

Objective To investigate the clinical effect of three-dimensional laparoscopic splenectomy for massive splenomegaly secondary to liver cirrhosis. Methods The clinical data of 67 patients who underwent laparoscopic splenectomy for massive splenomegaly at Henan Province People′s Hospital from Jan 2013 to Dec 2018 were collected. Results Operation time, volume of intraoperative blood loss and blood transfusion, number of patients with intraoperative blood transfusion, and conversion to laparotomy in 2D group were in favor of 3D group, with statistically differences (t=12.90, 18.255, 19.711, χ2=10.747, 0.685, P 0.05) and resolved with oral coumarin. Conclusions Three-dimensional laparoscopic splenectomy can provide more realistic visual effects of surgical procedures and has an obvious advantage in laparoscopic splenectomy for massive splenomegaly secondary to liver cirrhosis. Key words: Laparoscopes; Imaging, three-dimensional; Splenectomy