To investigate the feasibility, safety and effectiveness of laparoscopic splenectomy by tunnel.

The clinical data of 48 patients who underwent laparoscopic splenectomy from January 2022 to December 2022 by the same surgical team were retrospectively analyzed and divided into group A (tunnel laparoscopic splenectomy, n=23) and group B (conventional laparoscopic splenectomy, n=25) according to the method of splenic pedicle amputation. SPSS 22.0 statistical software was used for data analysis. Measurement data such as perioperative indicators of patients were represented by (). Independent sample t test was used for comparison between groups. The χ² test was used to compare the number of postoperative complications among different data groups. P<0.05 was considered statistically significant.

All patients in group A successfully completed the tunnel laparoscopic splenectomy, and no conversion to laparotomy cases. In group B, 23 patients underwent laparoscopic splenectomy and 2 patients underwent laparotomy. Operation time, postoperative hospital stay and intraoperative blood loss in group A were less than those in group B, and the differences were statistically significant (P<0.05). There was no significant difference in the number of postoperative pancreatic fistula, venous thrombosis, hemorrhage and death between the two groups (P>0.05).

Tunnel laparoscopic splenectomy is feasible, safe and effective.