Laparoscopic Splenectomy-Technique and Its Out-come  

Oleh:

Pross, Matthias ; Lippert, Hans

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: SGH Medical Journal vol. 1 no. 2 (Jul. 2006), page 86.
Topik: laparoscopy; splenectomy; thrombosis; hematological diseases.

Ketersediaan

Perpustakaan FK Nomor Panggil: S09.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

The laparoscopic splenectomy has become a standard approach for specific indications, in particular for hematological diseases. We performed 36 laparoscopic splenectomies between June 1997 and December 2005. We chose the anterior approach with alternatively 3 or 4 trocars. The following diseases were regarded as indications for operation: idiopathic thrombocytopenic purpura (n=21), non-Hodgkin lymphoma (n=7), splenic hemangioma (n=2), spherocytosis (n=4), hypersplenism (n=1), and calcified splenic cyst (n=1). Median operation time was 100 min (40-167 minutes). Intraoperative conversion was necessary in 5 patients (13%). Bleeding was the most frequent intraoperative and postoperative complication. Two patients developed a thrombosis of the portal vein. It is concluded that the laparoscopic splenectomy represents an alternative procedure to conventional splenectomy. This method is secure and is associated with a low complication rate. It can be regarded as standard approach for the removal of the spleen in hematological diseases. Because of the risk of postoperative portal vein thrombosis, we recommend to apply a comprehensive thrombosis prophylaxis.

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