Laparoscopic splenectomy: case series of 24 patients

Authors

  • Vikal Chandra Shakya
  • Bishesh Paudyal

DOI:

https://doi.org/10.3126/jssn.v18i3.15311

Keywords:

laparoscopic splenectomy, thrombocytopenic purpura, hemolytic anemia

Abstract

Introduction and Objective: Splenectomy has mostly been performed by open surgery. Laparoscopy seems to be a meaningful alternative to open technique.

Materials and Methods: This study was done in patients presenting to hematology and surgery department of Civil Service Hospital who underwent laparoscopic splenectomy from January 2013 to November 2015

Results: There were 24 patients (16 females, 8 males). The diagnoses were idiopathic thrombocytopenic purpura in 19, hereditary spherocytosis in 2, @hemolytic anemia in 2, b-hemolytic anemia in 1. The mean operative time was 130+49 minutes. The mean postoperative stay was 5+2.11 days. Laparoscopic splenectomy could be completed in 21 patients. Rest 3 needed conversion to open (causes being excessive bleeding form splenic vein, splenic tear, and excessively low platelet counts). Three patients needed additional pfanneinsteil/lumbar incision to retrieve the spleen.

Conclusion: Laparoscopic splenectomy could be successfully contemplated in patients with hematological diseases, more so if spleen is of normal or mildly enlarged; and could be an advantageous alternative to open splenectomy.

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Published

2016-07-25

How to Cite

Shakya, V. C., & Paudyal, B. (2016). Laparoscopic splenectomy: case series of 24 patients. Journal of Society of Surgeons of Nepal, 18(3), 49. https://doi.org/10.3126/jssn.v18i3.15311

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Abstracts