Laparoscopic Splenectomy in Isolated High Grades Splenic Injuries

Myth and Facts About the Evolving Role of Laparoscopic Splenectomy in Isolated High Grades Splenic Injuries in Hemodynamically Stable Patients With Blunt Abdominal Trauma .Randomized Controlled Trials

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04329845

Enrollment

Registered

2020-04-01

Start date

2012-01-01

Completion date

2019-01-01

Last updated

2024-03-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Laparoscopic Surgery

Keywords

laparoscopy, laparotomy, non-penetrating, splenectomy

Brief summary

Background: Trauma laparoscopic splenectomy has no defined reasons. Compared trauma patient characteristics and results with laparoscopic and open splenectomies. Methods: Patients aged 15 or older with blunt splenic injuries from January 2012 to July 2017 needed splenectomy. Demographics, splenic damage grade, approach (open or laparoscopic), surgery duration, intra-operative blood loss, transfusions, hospital stay, complications, and death were variables.

Detailed description

The spleen might be injured in left lower chest or upper abdomen trauma. Rib cage, diaphragm, pancreas, and bowel injuries may occur with splenic injuries. Hemodynamic instability, a rising heart rate, and low blood pressure are symptoms of damage, however the mechanism of injury requires a high index of suspicion.

Interventions

PROCEDUREopen splenectomy

open splenectomy for treatment of splenic injury

PROCEDURElaparoscopic splenectomy for splenic injury in trauma

laparoscopy as a technique for removal of the spleen in injury

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

15 Years to 50 Years

Healthy volunteers

Inclusion criteria

* • At least 15 years old. * Male and female (not pregnant) patients; • Sonar and CT scans before surgery showed single splenic damage;

Exclusion criteria

* • Other damage to the abdomen, thorax, or nerves were found before surgery. * good use of non-surgical treatment or embolization * Woman who is pregnant. * Splenic cuts that go deep. * Previous surgery in the upper abdomen using a laparoscopic method. • Other injuries to the abdomen found during surgery, such as liver, intestine, or bladder injuries.

Design outcomes

Primary

Measure	Time frame	Description
mortality	1.5 years	during operation or immediate postoperative

Secondary

Measure	Time frame	Description
intraoperative complications	5 years	intraoperative complications

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026