Clinical application of serial operations with preserving spleen

Table 1 Operative procedures of preserving spleen

Diagnosis	Operative procedures	N	Rate (%)
Splenic injury	Arresting bleeding by adhesion	9	4.3
	Suture and repair	19	9.0
	Ligation of splenic artery	7	3.3
	Partial splenectomy	27	12.8
	Ligation of splenic artery plus Suture and repair	23	10.9
	Suture and repair or adhesives plus partial splenectomy	28	13.3
	Autosplenosis after splenectomy	58	27.5
Splenic cyst	Partial splenectomy	5	2.4
	Autosplenosis after splenectomy	2	1.0
	Paracentesis under BUS	3	1.4
Portal hypertension	Subtotal splenectomy and splenorenal venous shunt	9	4.3
Lesions of body and tail of the pancreas	Resection of the body and tail of the pancreas with preservation of spleen	21	10.0
Total		221	100

Table 2 The degree of splenic injury and the choice of therapeutic method

I	Nonsurgical treatment Arresting bleeding by adhesion Suture and repair
II	Partial splenectomy Binding the rupture of spleen
III	Ligation of splenic artery
IV	Splenectomy plus autosplenosis