Laparoscopic splenectomy: A retrospective review of 75 cases

Laparoscopic splenectomy: A retrospective review of 75 cases

Laparoscopic splenectomy (LS) is considered a safe procedure for spleens of normal size as well as for larger spleens. Seventy-five consecutive patients underwent LS. Splenomegaly was defined by diameter >15 cm and by weight >400 g. Thirty patients had splenomegaly. The outcomes with spleens &...

Full description

Saved in:
Bibliographic Details
Published in:International surgery Vol. 91; no. 2; p. 82
Main Authors: Pugliese, R, Sansonna, F, Scandroglio, I, Maggioni, D, Ferrari, G C, Di Lernia, S, Costanzi, A, Grillo, G, Cimbanassi, S, Chiara, O
Format: Journal Article
Language:English
Published: Italy 01-03-2006
Subjects:
Adolescent
Adult
Aged
Blood Loss, Surgical
Female
Humans
Laparoscopy
Length of Stay
Male
Middle Aged
Postoperative Complications
Retrospective Studies
Splenectomy - methods
Splenomegaly - surgery
Time Factors
Online Access:Get more information
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Laparoscopic splenectomy (LS) is considered a safe procedure for spleens of normal size as well as for larger spleens. Seventy-five consecutive patients underwent LS. Splenomegaly was defined by diameter >15 cm and by weight >400 g. Thirty patients had splenomegaly. The outcomes with spleens <15 cm and spleens >15 cm were compared. LS was successfully completed in 73 cases (97.4%). Spleens >15 cm required longer operating time and were associated with greater blood loss (P < 0.001), longer hospital stay, and more complications. Two patients needed blood transfusion. No overwhelming postsplenectomy infection was registered, and operative mortality was zero.
ISSN:0020-8868