■本文的目的是调查和比较可行性,安全,良性脾肿瘤和外伤性脾破裂患者的腹腔镜部分脾切除术(LPS)和开腹部分脾切除术(OPS)与术后早期恢复相关。
■对2019年3月至2022年5月在我院接受脾切除术的110例患者的临床数据进行了回顾性分析。其中,35例患者接受了OPS,25例外伤性脾破裂患者接受LPS治疗,而50例良性脾肿瘤患者接受了OPS(n=20)或LPS(n=30)。术前,术中,收集和比较术后数据。采用SPSS软件进行统计学分析。
■2组良性脾肿瘤患者和脾外伤患者的一般资料没有显着差异。外伤性脾破裂患者中,OPS组手术时间较短(p<0.05)。不管他们是外伤性脾破裂还是良性脾肿瘤,LPS组术后镇痛所需时间较少,排便恢复时间较短(p<0.05)。此外,LPS组显示白细胞计数较低,白细胞/淋巴细胞比率(WLR),中性粒细胞/淋巴细胞比率(NLR),单核细胞/淋巴细胞比率(MLR),C反应蛋白(CRP),降钙素(PCT),而白细胞介素-6(IL-6)在术后第1天和第3天优于OPS组(p<0.05)。
■与OPS相比,LPS具有显著的优势,包括最小的手术创伤,术后早期炎症反应减少,轻微的伤口疼痛,和胃肠功能的更快恢复。
UNASSIGNED: The aim of the article was too investigate and compare the feasibility, safety, and early postoperative recovery associated with laparoscopic partial splenectomy (LPS) and open partial splenectomy (OPS) in patients with benign splenic tumours and traumatic splenic rupture.
UNASSIGNED: A retrospective analysis was conducted on clinical data from 110 patients undergoing splenic resection at our hospital between March 2019 and May 2022. Among them, 35 patients underwent OPS, 25 underwent LPS for traumatic splenic rupture, while 50 patients with benign splenic tumours underwent either OPS (n = 20) or LPS (n = 30). Preoperative, intraoperative, and postoperative data were collected and compared. Statistical analysis was conducted using SPSS software.
UNASSIGNED: There was no significant difference in the general data between the 2 groups of patients with benign splenic tumours and those with splenic trauma. Among patients with traumatic splenic rupture, the OPS group had a shorter operation time (p < 0.05). Regardless of whether they had traumatic splenic rupture or benign splenic tumours, the LPS group required less postoperative analgesia and had a shorter defecation recovery time (p < 0.05). Additionally, the LPS group displayed lower white blood cell count, white blood cell/lymphocyte ratio (WLR), neutrophil/lymphocyte ratio (NLR), monocyte/lymphocyte ratio (MLR), C-reactive protein (CRP), calcitonin (PCT), and interleukin-6 (IL-6) than the OPS group on the first and third days post-surgery (p < 0.05).
UNASSIGNED: In comparison to OPS, LPS presents significant advantages, including minimal surgical trauma, a reduced early postoperative inflammatory response, milder wound pain, and a faster recovery of gastrointestinal function.