OBJECTIVES: Laparoscopic splenectomy became the standard surgical procedure in the 1990s. The goal of this study was to analyze the outcome of the patients who underwent laparoscopic splenectomy for the benign hematologic diseases of the spleen and compare its results with open splenectomy. MATERIAL AND METHODS: The study was conducted as a retrospective cohort study analyzing and comparing the data obtained from 196 patients' case records in the Clinic for Digestive Surgery, Clinical Center of Serbia, for the benign disorders of the spleen, divided into two groups: patients operated with laparoscopic technique and patients in whom classic splenectomy was performed. The analyzed parameters were divided into three groups as preoperative, intraoperative and postoperative. RESULTS: In the laparoscopic splenectomy group, less intraoperative blood loss, lower incidental intraoperative complications and a shorter duration of surgery were recorded. The incidence of postoperative complications and reoperations was higher in the group of classically operated patients. Postoperative recovery, expressed by the duration of postoperative abdominal drainage, recovery of intestinal peristalsis and length of postoperative hospitalization, was significantly shorter in the laparoscopic group. CONCLUSION: Laparoscopic splenectomy is an effective and safe surgical procedure in the treatment of many benign diseases of the spleen. Improvement of the laparoscopic technique of surgical teams and technical improvement of the laparoscopic equipment can lead to even wider application of laparoscopic splenectomy as standard operative procedure, and thus to safer and better quality treatment of patients with wider spectrum diseases of the spleen.
OBJECTIVES: Laparoscopic splenectomy became the standard surgical procedure in the 1990s. The goal of this study was to analyze the outcome of the patients who underwent laparoscopic splenectomy for the benign hematologic diseases of the spleen and compare its results with open splenectomy. MATERIAL AND METHODS: The study was conducted as a retrospective cohort study analyzing and comparing the data obtained from 196 patients' case records in the Clinic for Digestive Surgery, Clinical Center of Serbia, for the benign disorders of the spleen, divided into two groups: patients operated with laparoscopic technique and patients in whom classic splenectomy was performed. The analyzed parameters were divided into three groups as preoperative, intraoperative and postoperative. RESULTS: In the laparoscopic splenectomy group, less intraoperative blood loss, lower incidental intraoperative complications and a shorter duration of surgery were recorded. The incidence of postoperative complications and reoperations was higher in the group of classically operated patients. Postoperative recovery, expressed by the duration of postoperative abdominal drainage, recovery of intestinal peristalsis and length of postoperative hospitalization, was significantly shorter in the laparoscopic group. CONCLUSION: Laparoscopic splenectomy is an effective and safe surgical procedure in the treatment of many benign diseases of the spleen. Improvement of the laparoscopic technique of surgical teams and technical improvement of the laparoscopic equipment can lead to even wider application of laparoscopic splenectomy as standard operative procedure, and thus to safer and better quality treatment of patients with wider spectrum diseases of the spleen.
Authors: John M Davies; Michael P N Lewis; Jennie Wimperis; Imran Rafi; Shamez Ladhani; Paula H B Bolton-Maggs Journal: Br J Haematol Date: 2011-11 Impact factor: 6.998
Authors: Francesco Corcione; Felice Pirozzi; Giuseppe Aragiusto; Francesco Galante; Antonio Sciuto Journal: Surg Endosc Date: 2012-05-12 Impact factor: 4.584
Authors: Jose R Gonzalez-Porras; Fernando Escalante; Emilia Pardal; Magdalena Sierra; Luis J Garcia-Frade; Santiago Redondo; Maryam Arefi; Carlos Aguilar; Fernando Ortega; Erik de Cabo; Rosa M Fisac; Oscar Sanz; Carmen Esteban; Ignacio Alberca; Mercedes Sanchez-Barba; Maria T Santos; Abel Fernandez; Tomas J Gonzalez-Lopez Journal: Eur J Haematol Date: 2013-07-07 Impact factor: 3.674
Authors: Milorad Reljic; Boris Tadic; Katarina Stosic; Milica Mitrovic; Nikola Grubor; Stefan Kmezic; Miljan Ceranic; Vladimir Milosavljevic Journal: Diagnostics (Basel) Date: 2022-01-15