During liver resection clamping of the hepato-duodenal ligament (the Pringle maneuver) is performed to reduce intraoperative blood-loss. During this maneuver acute portal hypertension may lead to spontaneous splenic r...During liver resection clamping of the hepato-duodenal ligament (the Pringle maneuver) is performed to reduce intraoperative blood-loss. During this maneuver acute portal hypertension may lead to spontaneous splenic rupture requiring rapid splenectomy in order to control blood loss. We present 2 case of patients with hemorrhage from the spleen during clamping for liver surgery. A review of the literature with an emphasis on the pathophysiology of splenic hemorrhage is presented.展开更多
Complications following endoscopic procedures have been rarely reported and spontaneous rupture of a normal spleen is an exceptional complication following a gastroscopy.This paper reports a case of a spontaneous rupt...Complications following endoscopic procedures have been rarely reported and spontaneous rupture of a normal spleen is an exceptional complication following a gastroscopy.This paper reports a case of a spontaneous rupture of a normal spleen following a gastroscopy.展开更多
Objective： To evaluate the effect of laparoscopic spleen-preserving operation for traumatic spleen rupture. Methods ： From 1997 to 2003. 15 cases of traumatic spleen rupture were treated with laparoscopic spleen-pr...Objective： To evaluate the effect of laparoscopic spleen-preserving operation for traumatic spleen rupture. Methods ： From 1997 to 2003. 15 cases of traumatic spleen rupture were treated with laparoscopic spleen-preserving operation in our hospital. Nine cases had operation history in the middle and lower abdomen. ZT binding, electrocoagulation, fibrin and gelfoam tamping and suture repairing were used in patients with spleen rupture of grade I and grade Ⅱ. Combined hemostasis was used for spleen rupture of grade Ⅲ. Results： All patients did not need laparotomy during operation and no postoperative bleeding occurred. They were all cured and followed up for 3-12 months.Determination of immunoglobulinis after operation showed normal, and spleen ultrasonic examination, CT and body state evaluations were all satisfactory. Conclusions： Laparoscopy in the management of spleen trauma can be used in confirmed diagnosis and in determining the degree of spleen injury. For patients with stable vital signs laparoscopic spleen-preserving operation can be used. The laparoscopic spleen-preserving operation is safe in the treatment of traumatic spleen rupture.展开更多
目的探讨严重外伤性脾破裂经脾切除治疗后行大网膜自体脾片种植的临床疗效。方法选取沈阳医学院附属中心医院2014年7月至2016年8月收治的42例严重外伤性脾破裂患者,分为观察组(23例)与对照组(19例)。患者或其家属签署知情同意书,并获得...目的探讨严重外伤性脾破裂经脾切除治疗后行大网膜自体脾片种植的临床疗效。方法选取沈阳医学院附属中心医院2014年7月至2016年8月收治的42例严重外伤性脾破裂患者,分为观察组(23例)与对照组(19例)。患者或其家属签署知情同意书,并获得我院医学伦理委员会批准。对照组行常规脾切除术,观察组在脾切除后行大网膜自体脾片种植。结果观察组的手术时间显著长于对照组(P<0.05),而术中出血量、术后进食时间及住院时间2组比较差异均无统计学意义(均P>0.05);观察组术后切口感染发生率显著低于对照组(P<0.05);观察组患者种植脾片全部显影良好;术后30 d内2组患者血小板均不同程度偏高,观察组增高程度显著低于对照组,术后3,7,14,30 d组间比较差异均有统计学意义(P<0.05);观察组术后28 d Ig G、Ig M、Ig A指标显著高于对照组(P<0.01);观察组术后14,28 d CD3+与CD4+/CD8+指标均较对照组显著增高(P<0.01)。结论严重外伤性脾破裂经脾切除治疗后行大网膜自体脾片种植可取得良好的临床疗效,具有较高的可行性与必要性。展开更多
文摘During liver resection clamping of the hepato-duodenal ligament (the Pringle maneuver) is performed to reduce intraoperative blood-loss. During this maneuver acute portal hypertension may lead to spontaneous splenic rupture requiring rapid splenectomy in order to control blood loss. We present 2 case of patients with hemorrhage from the spleen during clamping for liver surgery. A review of the literature with an emphasis on the pathophysiology of splenic hemorrhage is presented.
文摘Complications following endoscopic procedures have been rarely reported and spontaneous rupture of a normal spleen is an exceptional complication following a gastroscopy.This paper reports a case of a spontaneous rupture of a normal spleen following a gastroscopy.
文摘Objective： To evaluate the effect of laparoscopic spleen-preserving operation for traumatic spleen rupture. Methods ： From 1997 to 2003. 15 cases of traumatic spleen rupture were treated with laparoscopic spleen-preserving operation in our hospital. Nine cases had operation history in the middle and lower abdomen. ZT binding, electrocoagulation, fibrin and gelfoam tamping and suture repairing were used in patients with spleen rupture of grade I and grade Ⅱ. Combined hemostasis was used for spleen rupture of grade Ⅲ. Results： All patients did not need laparotomy during operation and no postoperative bleeding occurred. They were all cured and followed up for 3-12 months.Determination of immunoglobulinis after operation showed normal, and spleen ultrasonic examination, CT and body state evaluations were all satisfactory. Conclusions： Laparoscopy in the management of spleen trauma can be used in confirmed diagnosis and in determining the degree of spleen injury. For patients with stable vital signs laparoscopic spleen-preserving operation can be used. The laparoscopic spleen-preserving operation is safe in the treatment of traumatic spleen rupture.
文摘目的探讨严重外伤性脾破裂经脾切除治疗后行大网膜自体脾片种植的临床疗效。方法选取沈阳医学院附属中心医院2014年7月至2016年8月收治的42例严重外伤性脾破裂患者,分为观察组(23例)与对照组(19例)。患者或其家属签署知情同意书,并获得我院医学伦理委员会批准。对照组行常规脾切除术,观察组在脾切除后行大网膜自体脾片种植。结果观察组的手术时间显著长于对照组(P<0.05),而术中出血量、术后进食时间及住院时间2组比较差异均无统计学意义(均P>0.05);观察组术后切口感染发生率显著低于对照组(P<0.05);观察组患者种植脾片全部显影良好;术后30 d内2组患者血小板均不同程度偏高,观察组增高程度显著低于对照组,术后3,7,14,30 d组间比较差异均有统计学意义(P<0.05);观察组术后28 d Ig G、Ig M、Ig A指标显著高于对照组(P<0.01);观察组术后14,28 d CD3+与CD4+/CD8+指标均较对照组显著增高(P<0.01)。结论严重外伤性脾破裂经脾切除治疗后行大网膜自体脾片种植可取得良好的临床疗效,具有较高的可行性与必要性。
