Li Qiang, Liu ZhiLong, Hu Min, Ou MaoQiang, Liu KangShou, Lin WeiDa, Wu FeiFeng, Cao MingRong
Department of General Surgery, The First Affiliated Hospital, Jinan University, Guangzhou, China.
J Cancer Res Ther. 2020 Sep;16(5):1002-1006. doi: 10.4103/jcrt.JCRT_816_19.
The aim of this study is to investigate the application and the feasibility of microwave ablation in laparoscopic partial splenectomy.
From January 2018 to June 2019, four patients with benign spleen lesions in our hospital underwent laparoscopic partial splenectomy assisted by microwave ablation. The reviewed parameters included the operation time, intraoperative blood loss, ablation time, frequency of ablation, postoperative drainage time, postoperative hospitalization time, and postoperative complications.
All four patients underwent laparoscopic partial splenectomy assisted by microwave ablation successfully, and there were no cases of conversion to laparotomy. The operation time was 100-200 min (mean, 152.5 min) and ablation time was 16-35 min (mean, 22.8 min). The frequency of ablation was 4-7 times (mean, 5.3 times), and the intraoperative blood loss was 5-300 ml (mean, 138.8 ml). The postoperative drainage time was 3-5 d (mean, 3.3 d), and postoperative hospital stay was 3-9 d (mean, 7.8 d). There were no complications such as peripheral tissue injury, massive bleeding, infestation of spleen fossa, and pancreatic leakage.
Microwave ablation is worthy of clinical application in laparoscopic partial spleen resection as it is safe and effective with low rates of bleeding and fast recovery.
本研究旨在探讨微波消融在腹腔镜脾部分切除术中的应用及可行性。
2018年1月至2019年6月，我院4例脾脏良性病变患者接受了微波消融辅助下的腹腔镜脾部分切除术。回顾的参数包括手术时间、术中出血量、消融时间、消融次数、术后引流时间、术后住院时间及术后并发症。
4例患者均成功接受了微波消融辅助下的腹腔镜脾部分切除术，无一例转为开腹手术。手术时间为100 - 200分钟（平均152.5分钟），消融时间为16 - 35分钟（平均22.8分钟）。消融次数为4 - 7次（平均5.3次），术中出血量为5 - 300毫升（平均138.8毫升）。术后引流时间为3 - 5天（平均3.3天），术后住院时间为3 - 9天（平均7.8天）。未发生外周组织损伤、大出血、脾窝感染及胰漏等并发症。
微波消融在腹腔镜脾部分切除术中安全有效，出血率低，恢复快，值得临床应用。
