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The technical experience of hand assisted laparoscopic splenectomy in ruptured spleen

CHEN Xiao wu,JU Yong le, RONG Zhen xiang , et al . Dept. of Mini-Invasive General Surgery,The ShunDe Affiliated Hospital, Southern Medical University, Shunde 528300,china  
Objective To explore the technique experience of hand assisted laparoscopic splenectomy (HALS) in ruptured spleen. Methods From January 2002 to October 2006, HALS was performed in 42 cases, among whom 18 cases were combined with other visceral trauma. Results All cases were performed successfully by HALS. Mediant operation time was 62 min (range 35-105 min). The average hospital stay was 7 days in 24 cases with only spleen trauma and 12.8 days in 18 cases combined with other injuries. No major operative complications and mortality occurred. Conclusions HALS has advantages of minimal invasion, short operation time and safely, and the skillful technique is assurance of success.
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