Laparoscopic partial splenectomy in the treatment of splenic ectopic pregnancy  

作　　者：Ke-Xi Liao Li Cao Yan-Zhou Wang Bao-Lin Wang Shu-Guo Zheng Jian-Wei Li 

机构地区：[1]Institute of Hepatobiliary Surgery,First Affiliated Hospital,Army Medical University,Chongqing,China [2]Department of Gynecology and Obstetrics,First Affiliated Hospital,Army Medical University,Chongqing,China

出　　处：《Hepatobiliary Surgery and Nutrition》2024年第3期569-572,共4页肝胆外科与营养（英文）

基　　金：New Clinical Technology Project Foundation of the Southwest Hospital,Third Military Medical University(No.SWH2016JSTSYB-50).

摘　　要：Ectopic pregnancy is a pregnancy that occurred outside the uterus,usually in the fallopian tube,followed by other abdominal pregnancies.Ectopic pregnancy could not develop normally to term and requires sufficient evaluation and intervention with medication or surgery in most cases(1).As a rare form of abdominal pregnancy(2),splenic ectopic pregnancy could be treated by drug treatment(3)or surgical interventions,including laparotomy and laparoscopy,which focused on total splenectomy(4,5).A previous study(6)indicated that laparoscopic partial splenectomy for selected patients was safe and feasible.Due to the fragile texture of the spleen,the suture method during laparoscopic partial splenectomy was technically demanding since it might encounter higher risk of splenic vascular hemorrhage than total splenectomy.Hence,few reports focused on the treatment of splenic ectopic pregnancy via laparoscopic partial splenectomy(7).In order to avoid the potential severe complications such as hemoperitoneum(8)caused by drug treatment alone,and to avert impaired hematopoietic and immune function caused by total splenectomy,we herein presented a case(Video 1)of a 30-year-old woman(gravida 2,para 1)undergoing laparoscopic partial splenectomy performed by hepatobiliary surgeons to treat splenic ectopic pregnancy.

关 键 词：PREGNANCY SPLENECTOMY IMPAIRED 

分 类 号：R657.6[医药卫生—外科学]