Splenectomy for hematologic disease comparison of laparoscopic versus open technique

Background. This study aimed to compare the safety, efficacy and clinical benefits of laparoscopic splenectomy (LS) to open splenectomy (OS) in patients with hematologic disorders .Methods. Experimental design: prospective study ; setting : II Department of Surgery Reggio Emilia and III Departement of Surgery Pescara; Patients : 141 consecutive adult patients underwent splenectomy; 78 patients underwent LS and 63 OS. In the LS group is adopted lateral position and reverse Trendelemburg; tree ports along the left sub-costal margin are used; The hilar pedicle is stapled using linear endoscopic stapler with vascular cartridge. Perioperative characteristics, outcomes, complications and costs were comparatively analysed.Results. Mean age was 34.6 years in the LS group and 42.8 in the OS group. BMI (Kg\h2) was 23.5 (range 20-28) in the LS group and 24.1 (range 21-30) in the OS group. Mean spleen size was 12.8 cm in the LS group and 15.5 cm in the OS group. Accessory spleens were found 19 patients in the LS group and in 14 patients in the OS group; 4 conversions to laparotomy occurred in the LS group. A total of 7 complications occurred in 6 patients of the LS ( 2 pulmonary infections , 2 abdominal wall complications , 1 pancreatitis , 3 splenoportal thrombosis ); 19 complications occurred in 15 patients of OS group (8 pulmonary infections, 10 abdominal wall complications , 3 hemorrhage ). Mean surgical time was 129.5 minutes for LS and 89.7 minutes for OS ( p


Session: Poster

Program Number: P399

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