Laparoscopic spleen preservation

Laparoscopy can not only confirm the diagnosis, but also facilitate the determination of the degree of spleen injury. In the past, due to the one-sided view that "the spleen is not an essential organ for life", and the spleen has a rich blood supply, fragile tissues, and difficult hemostasis. For a long time, splenectomy is the only option for treating various types of spleen rupture. However, modern spleen research proves that the spleen has multiple functions, especially the awareness of the risk of a dangerous infection (OPSI) after splenectomy, so that surgeons have gradually formed the concept of "spleen protection" and established the management of spleen trauma Principles: ① save lives first, retain spleen second; ② the younger the age, the more spleen-preserving surgery; ③ the quality and quantity of spleen must be sufficient for spleen function; ④ choose the appropriate spleen-preservation according to the type and degree of injury Several techniques are applied or combined.