The organ-preserving surgical treatment of the splenic rupture after the blunt abdominal trauma

Alimov A.N.; Zubarev A.R.; Priamikov A.D.; Alimov V.A.; Sukiasian A.A.; Murashina I.V.; Safronov .P.; Kim Iu.E.

doi:https://doi.org/

Alimov A.N.

Kafedra khirurgii i ndoskopii i kafedra ul'trazvukovoĭ diagnostiki fakul'teta usovershenstvovaniia vracheĭ Rossiĭskogo nauchno-issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova, Moskva

Zubarev A.R.

Priamikov A.D.

Kafedra khirurgii i éndoskopii FUV Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #12, Moskva, Rossiia

Alimov V.A.

Sukiasian A.A.

Murashina I.V.

Safronov .P.

Kim Iu.E.

The organ-preserving surgical treatment of the splenic rupture after the blunt abdominal trauma

Authors:

Alimov A.N., Zubarev A.R., Priamikov A.D., Alimov V.A., Sukiasian A.A., Murashina I.V., Safronov .P., Kim Iu.E.

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Journal: Pirogov Russian Journal of Surgery. 2013;(9): 39‑43

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To cite this article:

Alimov AN, Zubarev AR, Priamikov AD, et al. . The organ-preserving surgical treatment of the splenic rupture after the blunt abdominal trauma. Pirogov Russian Journal of Surgery. 2013;(9):39‑43. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

The outcomes of 383 cases of heavy combined traumas (n=273) and isolated (n=110) closed injuries of the abdomen with spleen damage were analyzed. The overall mortality was 11.74% (n=45), whereas the mortality rate during the first day after admission was 7.83% (n=30). Removal of a spleen was executed at 228 patients. The spleen-preserving operation with ligation of splenic artery, was performed in 155 patients. The optimal level of the splenic artery ligation proved to be in its proximal and median parts. The postoperative CT-angiogarphy and Doppler US scanning together with the three-dimensional reconstruction confirmed that blood supply of the body and tail of the pancreas was satisfactory thanks to the natural collateral blood circulation. The dramatic decrease in lethality and of postoperative complication rates allows to consider spleen-preserving resections to be a good alternative to spleenectomy.

Keywords:

closed abdominal injury

spleen rupture

spleenectomy

spleen-preserving resection

splenic artery ligation