ObjectiveTo compare the safety and clinical efficacy between transumbilical single port laparoscopic splenectomy and conventional multiport laparoscopic splenectomy. MethodsThe clinical data of 18 patients(observation group) undergoing transumbilical single port laparoscopic splenectomy and 43 patients(control group) undergoing conventional five-port laparoscopic splenectomy during the same period were retrospectively analyzed. The operative duration, intraoperative blood loss, the incidence of complications, postoperative hospital stay and postoperative pain scores were compared between the two groups. ResultsThe operation was completed successfully in both groups without changing the surgical plans. All the patients were discharged after postoperative relevant therapy, and no serious perioperative complications occurred. The operative duration of the observation group was longer than that of the control group (P＜0.05). There were no significant differences in intraoperative blood loss, the incidence rate of postoperative complications between the two groups (P＞0.05). The pain score at the first day after operation was lower and the postoperative hospital stay was shorter in the observation group compared to the control group (P＜0.05). ConclusionIn the institutions with some experience of laparoscopic surgery, it is safe and feasible to conduct transumbilical single port laparoscopic splenectomy especially for non obese patients with normal size or mild enlargement of spleen. Compared to conventional multiport laparoscopic splenectomy, transumbilical single port laparoscopic splenectomy is less traumatic, can achieve better cosmetic effect, further alleviate postoperative pain and shorten postoperative hospital stay. This approach obtains broad prospect of application.

无