Objective To investigate clinical efficacy and application value of laparoscopic and open splenectomy in the management of traumatic splenic rupture.Methods The clinical data of 48 patients with traumatic splenic rupture admitted to the Department of General Surgery of our hospital from January 2021 to May 2024 were retrospectively analyzed;21 patients underwent laparoscopic splenectomy(study group)and 27 underwent traditional open splenectomy(control group).Total operation time,splenectomy time,intraoperative blood loss,postoperative gastrointestinal function recovery time,drainage tube placement time,hospitalization days,postoperative complications(postoperative abdominal bleeding,pulmonary infection,pancreatic leakage,incision fat liquefaction)were compared between the two groups.Results Postoperative gastrointestinal function recovery time,drainage tube placement time,and hospitalization days in the study group were less than those in the control group,and the differences were statistically significant(all P＜0.05).The differences in intraoperative bleeding and postoperative complication rates were not statistically significant between the 2 groups(both P＞0.05).Conclusions Given reasonable indications for surgery,laparoscopic splenectomy in the management of traumatic splenic rupture has the advantages of less surgical trauma,quicker postoperative recovery,shorter hospitalization time,with reliable safety profile,compared with the traditional open splenectomy.
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