Laparoscopic surgery for splenic injuries in the era of non-operative management: current status and future perspectives.
Abdominal Injuries
/ diagnostic imaging
Conservative Treatment
/ methods
Embolization, Therapeutic
/ methods
Female
Hemodynamics
Humans
Laparoscopy
/ methods
Male
Organ Sparing Treatments
/ methods
Spleen
/ diagnostic imaging
Splenectomy
/ methods
Trauma Severity Indices
Treatment Failure
Treatment Outcome
Wounds, Nonpenetrating
/ diagnostic imaging
Abdominal trauma
Laparoscopic splenectomy
Splenic injury
Splenic trauma
Journal
Surgery today
ISSN: 1436-2813
Titre abrégé: Surg Today
Pays: Japan
ID NLM: 9204360
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
received:
22
04
2020
accepted:
12
09
2020
pubmed:
17
11
2020
medline:
26
11
2021
entrez:
16
11
2020
Statut:
ppublish
Résumé
The spleen is one of the organs most commonly injured by blunt abdominal trauma. It plays an important role in immune response to infections, especially those sustained by encapsulated bacteria. Nonoperative management (NOM), comprising clinical and radiological observation with or without angioembolization, is the treatment of choice for traumatic splenic injury in patients who are hemodynamically stable. However, this strategy carries a risk of failure, especially for high-grade injuries. No clear predictors of failure have been identified, but minimally invasive surgery for splenic injury is gaining popularity. Laparoscopic surgery has been proposed as an alternative to open surgery for hemodynamically stable patients who require surgery, such as after failed NOM. We reviewed research articles on laparoscopic surgery for hemodynamically stable patients with splenic trauma to explore the current knowledge about this topic. After presenting an overview of the treatments for splenic trauma and the immunological function of the spleen, we try to identify the future indications for laparoscopic surgery in the era of NOM.
Identifiants
pubmed: 33196920
doi: 10.1007/s00595-020-02177-2
pii: 10.1007/s00595-020-02177-2
pmc: PMC8215029
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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