#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Laparoscopic Splenectomy – Our Experience


Authors: M. Mýtnik;  P. Pastierik;  P. Šeliga
Authors‘ workplace: Chirurgická klinika FNsP Prešov, Slovenská republika, prednosta: MUDr. Miroslav Mýtnik, Ph. D.
Published in: Rozhl. Chir., 2009, roč. 88, č. 1, s. 7-10.
Category: Monothematic special - Original

Overview

Aim:
Comparison laparoscopic (LS) and conventional splenectomy (OS).

Material and methodics:
Evaluation results of 22 patients after LS and 22 patients after open splenectomy for idiopathic trombocythopenic purpura (ITP) – complications, operational time, hospital stay, dynamics of coagulating parameters, mainly plattelets.

Results:
We provided longer operational time, shorter hospital stay, earlier regression of trombocytopenia at patients after laparoscopic splenectomy and all at once the same complications then at patients after open splenectomy.

Conclusion:
The laparoscopic splenectomy is considere for advantages of miniinvasive approach as appropriate alternative of surgical treatment of ITP.

Key words:
splenectomy – laparoscopic – conventional – results


Sources

1. Rhodes, M., Rudd, M., O‘Rourke, N. Laparoscopic splenectomy and lymph node biopsy for hematológie disorders. Ann. Surg., 1995; 222 (1): 43–46.

2. Poulin, E., Thibault, C. The anatomical basis for laparoscopic splenectomy. Can. J. Surg., 1993; 36(5): 484–488.

3. Wallsher, P. Laparoscopic splenectomy. ANZ Journal of Surgery, 2007, 77(9): 714–715.

4. Berindoague, R., Targarona, E., Balague, C. Can We Predict Immediate Outcome After Laparoscopic Splenectomy for Splenomegaly? MultivariateAnalysis of Clinical, Anatomic, and Pathologic Features After 3D Reconstruction of the Spleen Surgical Innovation, 2007, 14 (4), 243–251.

5. Cadiere, G., Verroken, R., Himpens, J. Operative strategy in laparoscopic splenectomy. J. Am. Col. Surg., 1994; 179: 668–672.

6. Chen, B., Hu, S., Wang, W. Economical Strategies of Laparoscopic Splenectomy. Chir. Gastroenterol., 2007; 23: 387–391.

7. Gigot, J. F., Healy, M. L., Michaux, J. L., Njinou, B. Laparoscopic splenectomy for idiopathic thrombocytopenic purpura. Br. J. Surg., 1994; 81: 1171–1172.

8. Lefor, A., Melvin, S., Baily, R., Flowers, J. Laparoscopic splenectomy in the management of immune thrombocytopenia purpura. Surgery., 1993;114(3): 613–618.

9. Poulin, E., Thibault, C, Mamazza, J., Girotti, M. Laparoscopic splenectomy: clinical experience and the role of preoperative splenic artery embolization. Surg. Laparosc. Endosc., 1993; 3(6): 445–450.

10. Maalouf, M.,Papasavas, P. Portal Vein Thrombosis After Laparoscopic Splenectomy for Systemic Mastocytosis: A Case Report and Review of the Literature Surgical Laparoscopy, Endoscopy; Percutaneous Techniques, 2008, 18 (2): 219–221.

1l. Ellison, E., Fabri, P. Complications of splenectomy. Surg. Clin. North AM., 1983; 63: 1313–1330.

12. Carroll, B., Phillips, E., Semel, C, Fallas, M., Morgenstern, L. Laparoscopic splenectomy. Surg. Endosc., 1992; 6: 183–185.

13. Flowers, J. Laparoscopic splenectomy. In: Zuker, K. A., ed. Surgical Laparoscopy Update. St. Louis: Quality Medical Publishing, 1993: 357–371.

14. Patkowski, D., Korlacki, W., Czauderna. P. Laparoscopic splenectomy in children – a multicenter experience. J. Pediatr Surg., 2008, 43(5), 951–954.

15. Targarona, E., Espert, J., Bombuy, E., Vidal, O. Complications of laparoscopic splenectomy. Arch. Surg., 2000; 135: 1137–1140.

16. Smith, C, Meyer, T., Goretsky, M., Hyams, D. Laparoscopic splenectomy by the lateral approach: A safe and effective alternative to open splenectomy for hematológie diseases. Surgery, 1996, 120, 789–794.

Labels
Surgery Orthopaedics Trauma surgery
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#