Laparoscopic Splenectomy

Burhan Mayir, Tuna Bilecik, Umit Koc, Cemal Ozben Ensari, Mehmet Tahir Oruc, Nurullah Bulbuller. Antalya Education and Research Hospital.

Laparoscopic splenectomy has become the preferred surgical procedure for the elective splenctomy. In this study, we present our experience with laparoscopic splenectomy.

The files of patients who underwent laparoscopic splenectomy reviewed retrospectively. Diagnosis, operation finding and follow information were recorded.

Laparoscopic splenectomy were performed in 31 (17 women, 14 men) patients wtih age ranging 14-67 (mean:30,8). Operation time was 60-150 (mean: 102,6) minutes. Operation indications were idiopathic trombocytopenic purpura (25 patients), anemia (2 patients), myelodisplastic syndrome (1 patients), hodgkin lymphoma (1 patients), thalassemia majör (1 patients), hereditary spherocytosis (1 patients).
Conversion to laparotomy was necessary in three patients. In one patient who has massive splenomegali, small left subcostal incision was applied for get out spleen. In two patients accessory spleen was seen and resected/

In follow up, in four paitents with idiopathic trombocytopenic purpura thrombocyte levels didn’t increase. In one patient from those patients accessory spleen was detected and resected with second operation..

Laparoscopic splenectomy is the preferred surgical approach for treatment of hematologic disorders. Several studies have documented advantages of a laparoscopic approach for splenectomy such as lower analgesia requirements, earlier mobilization, fewer wound as well as other complications such as ileus and pneumonia, in addition to earlier return to work. We conclude that laparoscopic splenectomy is safe and effective methods for elective splenectomy.

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