Concomitant Laparoscopic Splenectomy and Cholecystectomy in Children: Our Outcomes and Technical Standardization

[Objectives] Hereditary spherocytosis (HS) is the most common red blood cell membrane disorder and often is associated with hemolytic crisis and cholelithiasis. The aims of this study are to evaluate the safety and cosmetic result of concomitant laparoscopic splenectomy (LS) and cholecystectomy (LC), and to describe our current technique.
[Methods] We evaluated 7 LS+LC procedures (HS + cholelithiasis) and compared it with 18 LS alone cases.
[Results] In comparison with the techniques in LS alone, we changed bed position from flat (LC) to semilateral (LS) for the LS+LC cases (Dual position approach). It allows for reduction in the number of trocar used and its size. We employed LigaSure for sutureless and stapleless LS in recent cases. All LS cases with or without LC were completed without the need for open conversion and all patients showed immediate hematologic improvement. Mean operative time in LS+LC was 239.3 minutes, while it was 179.7 minutes in LS alone cases (p

Session: Poster

Program Number: P313

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