Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Journal of Abdominal Surgery》 2018-04
Add to Favorite Get Latest Update

The perioperative comparative analysis of clinical efficacy between three-dimensional laparoscopic and open distal pancreatectomy combined with splenectomy

Xing Hongsong;Jiang Fan;Wu Guojun;Li Jianjun;Cheng Yanjun;Department of Hepatobiliary Surgery,Puren Hospital,Wuhan University of Science and Technology;Department of Science and Education,Puren Hospital,Wuhan University of Science and Technology;  
Objective To comparatively analyze the clinical efficacy between three-dimensional laparoscopic and open distal pancreatectomy(LDP)combined with splenectomy for the treatment of the pancreatic tail benign and malignant tumors in perioperative period.Methods A total of 72 patients undergoing distal pancreatectomy(LDP)combined with splenectomy,who were admitted to our hospital from May 2015 to February 2017,were divided into two groups according to the surgical procedures:dimensional laparoscopic distal pancreatectomy combined with splenectomy group(group A,n=32)and LDP combined with splenectomy group(group B,n=40).The preoperative clinical data,ASA anesthesia classification,intraoperative related variables,the perioperative complications and death rate were compared.Results The operation time in group A was significantly longer than in group B(5.8±0.8 h vs.4.2±0.9 h,t=8.283,P=0.000).The intraoperative blood loss in group A was less than in group B(272.7±72.2 mL vs.460.2±259.0 mL,t=-4.455,P=0.000).The intraoperative blood transfusion volume and ASA anesthesia classification showed no significant difference between group A and group B(P0.05).The postoperative hospital stay in group A was significantly shorter than in group B(8.8±2.7 h vs.15.9±2.6 h,t=-11.207,P=0.000).There was no significant difference in the postoperative complications between group A and group B(P0.05).The total expenses in group A were greater than those in group B [(5.97±1.33)×104 yuan vs.(5.08±1.72)×104 yuan,t=0.015,P=2.484).Conclusions Even though 3-dimensional d LDP combined with splenectomy has a great hospital expense,it has less intraoperative blood transfusion and shorter hospital stay,which can help to improve the therapeutic effect of the patients.
【CateGory Index】: R735.9
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved