• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Prediction of Outcomes Following Laparoscopic Splenectomy for Splenomegaly in Patients with Hematological Malignancies

Mohamed O Mohamed, MBBS, Danuel V Laan, MD, Ahmad Nourallah, MD, Juliane BIngener. Mayo Clinic

INTRODUCTION: Laparoscopic splenectomy for patients with splenomegaly due to hematologic malignancy is a high-risk procedure performed to improve patients’ quality of life (QOL). A new grading score was recently published using age, gender, diagnosis and spleen weight to predict technical difficulties and complications after laparoscopic splenectomy. We wanted to validate the approach for patients with splenomegaly due to malignancy. Also, we hypothesized that patients reported outcomes (PRO) might be useful to estimate postoperative complications and aid patient and surgeon decision making for patients with splenomegaly due to hematological malignancies.

METHODS: Patients with splenomegaly (spleen weight >400g) due to a hematological malignancy who underwent elective splenectomy at our institution between 2008 and 2014 and had PRO measures available were identified retrospectively. Demographics, spleen weight, operative approach, preoperative QOL, pain and fatigue scores, the length of hospital stay (LOS), estimated blood loss (EBL) and complications were abstracted. Student t-tests and ANOVA were performed in intention to treat analysis.

RESULTS: Data of 101 patients with splenomegaly who had PROs available was analyzed. Mean age was 63 years,40 patients (31%) were women. Using the recent grading system, all patients in this data set were in the high-risk group. There was no 30-day mortality. Successful minimally invasive procedures were reported for spleens weighing less than 2540g (see Table1). Nine patients (22%) with splenomegaly required conversion from laparoscopic to open splenectomy; mean spleen weight 1625g(575-2540g). This group had the highest morbidity (22%) and EBL (886±872).

For the whole cohort; patients with higher preoperative fatigue (p-value0.013) and pain scores (p-value<0.001) had higher complications rate.

In patients undergoing laparoscopic splenectomy, preoperative pain predicted morbidity (p-value0.005) and LOS (p-value0.003). In patients undergoing open splenectomy preoperative pain and fatigue were predictors for complications.

Patients with a preoperative hemoglobin < 11 g/dL had LOS >7 days (p-value<0.001).

CONCLUSION: The recently published grading system did not add differentiating features to patients with splenomegaly for malignancy. Preoperative Patients Reported outcomes and preoperative anemia may be useful predictors of morbidity and LOS following laparoscopic and open splenectomy in patients with hematological malignancies.

Table1
Laparoscopic(n=40) HALS(n=15) Open(n=46)
Age(years)* 64±12 67±14 62±11
LOS(Days)* 5.5±4.3 4.0±1.1 7.2±4.4
Complications 12.5% 0% 19.6%
EBL(ml)* 451±521 248±209 570±743
Spleen Weight(g)* 1062(2540-400) 1558(2535-705) 2785(6210-710)

Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 80277

Program Number: P707

Presentation Session: Poster (Non CME)

Presentation Type: Poster

46

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2017 abstract archive

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
sagesweb@sages.org
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons