Laparoscopic partial splenectomy guided by precise surgery procedures

Objective To evaluate partial splenectomy (LPS) in the treatment of benign solid tumors of the spleen. Methods The clinical data of patients with benign solid tumors of spleen treated by laparoscopy from Jan 2010 to Jun 2018 in the Third Affiliated Hospital of Soochow University was retrospectively analyzed. Patients were divided into LPS group and laparoscopic total splenectomy (LTS) group. Results There were 21 cases in LPS group and 25 cases in LTS group. Differences between the two groups, operative time, blood loss, transfusion rate, maintenance of drain, postoperative hospital stay, costs, postoperative WBC and platelet count, and postoperative complications such as hemorrhage, fever, splenic fossa effusion, pancreatic fistula, venous thrombosis were statistically insignificant. However, the postoperative incidence of thrombocythemia in the LPS group were significantly lower compared to the LTS group (χ2 =4.293, P<0.05). Conclusions Patients with benign solid tumors of the spleen will benefit more from LPS compared to LTS. Key words: Splenic neoplasms; Splenectomy; Laparoscopes