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ISSN 1665-2576 (Print)

2012, Number 2

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Rev Mex Cir Endoscop 2012; 13 (2)

Laparoscopic splenectomy. «Lic. Adolfo López Mateos» Hospital experience in Mexico City

Ampudia CD, Vázquez GA

Language: Spanish
References: 34
Page: 76-79
PDF size: 37.35 Kb.


ABSTRACT

Introduction: Laparoscopic splenectomy has shown a lot of advantages compared to open technique including less pain, shorter length of stay, better cosmetic results and faster mobilization and return to daily activities. Indications are well established. However spleen length and size should be considered to make a correct decision. Methods: We reviewed data from 23 patients who underwent to laparoscopic splenectomy collected since January 2008 to December 2011. Demographic data, operative indications, perioperative outcomes and complications with respect to the patients were assessed. All patients were vaccinated for encapsulated bacteria. Results: Laparoscopic surgery was successfully completed in 91.3% and surgical conversion was reported in 8.69%. Most common primary diagnosis was Idiopathic Thrombocytopenic Purpura. Mean operating time was 117 min. Mean splenic length was 13 cm with weights ranging from 40 to 180 g. Mean blood loss was 110 mL. No mortality was found. Average length of stay was 3 days. Platelet count increased in all patients. Conclusion: Laparoscopic Splenectomy is an excellent technique to handle splenic pathology it should be considered as gold standard. Splenomegaly is not an impediment but all options should be considered.


REFERENCES

  1. Kercher K, Matthews B, Walsh R, Sing RF, Backus CL, Heniford BT. Laparoscopic splenectomy for massive splenomegaly. Am J Surg 2002; 183: 192-196.

  2. Casaccia M, Torelli P, Pasa A, Sormani M, Rossi E. Putative predictive parameters for the outcome of laparoscopic splenectomy. Ann Surg 2010; 251: 287-291.

  3. Friedman RL, Fallas MJ, Carroll BJ, Hiatt JR, Phillips EH. Laparoscopic splenectomy for ITP. The gold standard. Surg Endosc 1996; 10: 991-995.

  4. Katkhouda N, Hurwitz MB, Rivera RT, Chandra M, Waldrep DJ, Gugenheim J. Laparoscopic splenectomy: outcomes and efficacy in 103 consecutive patients. Ann Surg 1998; 228: 568-578.

  5. Knauer E, Ailawadi G, Yahanda A, Obermeyer RJ, Millie MP, Ojeda H. 101 Laparoscopic splenectomies for the treatment of benign and malignant hematologic disorders. Am J Surg 2003; 186: 500-504.

  6. Park A, Marcacio M, Sternbach M, Witzke D, Fitzgerald P. Laparoscopic versus open splenectomy. Arch Surg 1999; 134: 1263-1369.

  7. Brunt LM, Langer JC, Quasebarth MA, Whitman ED. Comparative analysis of laparoscopic versus open splenectomy. Am J Surg 1996; 172: 596-601.

  8. Watson DI, Coventry BJ, Chin T, Gilí PG, Malycha P. Laparoscopic versus open splenectomy for immune thrombocytopenic purpura. Surgery 1999; 121: 18-22.

  9. Dexter SP, Martin IO, Alao D, Norfolk DR, McMahon. MJ. Laparoscopic splenectomy. Surg Endosc 1996; 10: 393-396.

  10. Park A, Gagner M, Pomp A. The lateral approach to laparoscopic splenectomy. Am J Surg 1997; 173: 126-130.

  11. Carroll BJ, Phillips EH, Semel CJ, Fallas M, Morgenstern L. Laparoscopic splenectomy. Surg Endosc 1992; 6: 183-185.

  12. Yee LF, Carvajal SJ, De Lorimier AA, Mulvihill SJ. Laparoscopic splenectomy: the initial experience at University of California, San Francisco. Arch Surg 1995; 130: 874-879.

  13. Poulin EC, Mamazza J. Laparoscopic splenectomy: lessons learned from the learning curve. Can J Surg 1998; 41: 28-36.

  14. Friedman RL, Hiatt JR, Korman JL et al. Laparoscopic or open splenectomy for hematologic disease: which approach is superior? J Am Coll Surg 1997; 185: 49-54.

  15. Rege RV, Joehl RJ. A learning curve for laparoscopic splenectomy. J Surg Res 1999; 81: 27-32.

  16. Rosen M, Brody F, Walsh RM, Tarnoff M, Malm J, Ponsky J. Laparoscopic splenectomy. Surg Endosc 2002; 16: 851-854.

  17. Terrosu G, Donini A, Baccarani U, Vianello V, Anania G. Laparoscopic versus open splenectomy in the management of splenomegaly: our preliminary experience. Surgery 1998; 124: 839-43.

  18. Melman L, Matthews B. Current trends in laparoscopic solid organ surgery: spleen, adrenal, pancreas and liver. Surg Clin N Am 2008; 88: 1033-1046.

  19. Targarona EM, Espert JJ, Balague C, Piulachs J, Sugrañes G. Splenomegaly should not be considered a contraindication for laparoscopic splenectomy. Ann Surg 1998; 228: 35-39.

  20. Smith CD, Meyer TAL, Gorestsky MJ, Hyams D, Luchette FA. Laparoscopic splenectomy by the lateral approach: a safe and effective alternative to open splenectomy for hematologic diseases. Surgery 1996; 120: 789-794.

  21. Watson DI, Coventry BJ, Chin T, Gill PG, Malycha P. Laparoscopic versus open splenectomy for immune thrombocytopenic purpura. Surgery 1997; 121: 18-22.

  22. Decker G, Millat B, Guillon F, Atger J, Linon M. Laparoscopic splenectomy for benign and malignant hematologic diseases: 35 consecutive cases. World J Surg 1998; 22: 1-7.

  23. Rosen M, Brody F, Walsh RM, Tarnoff M, Malm J, Ponsky J. SO et al. Outcome of laparoscopic splenectomy based on hematologic indication. Surg Endosc 2002; 16: 272-279.

  24. Leung AY, Chim CS, Kwong YL, Lie AK, Au WY. Clinicopathologic and prognostic features of chronic idiopathic thrombocytopenic purpura in adult Chinese patients: an analysis of 220 cases. Ann Hematol 2001; 80: 384-386.

  25. Tsiotos G, Schlinkert RT. Laparoscopic splenectomy for immune thrombocytopenic purpura. Arch Surg 1997; 132: 642-646.

  26. Chirletti P, Cardi M, Barillari P, Vitale A. Surgical treatment of immune thrombocytopenic purpura. World J Surg 1992; 16: 1001-1004.

  27. Friedman R, Hiatt J, Korman J. Laparoscopic or open splenectomy for hematologic disease: which approach is superior? J Am Coll Surg 1997; 85: 49-54.

  28. Amaral J, Meltzer R, Crowley J. Laparoscopic accessory splenectomy for recurrent idiopathic thrombocytopenic purpura. Surg Laparosc Endosc 1997; 7: 340-344.

  29. Wu J, Lai I, Yuan R, Yu SC. Laparoscopic splenectomy for idiopathic thrombocytopenic purpura. Am J Surg 2004; 187: 720-723.

  30. Fabris F, Tassan T, Ramon R, Carraro G, Randi ML, Luzzatto G, Girolami A. Age as the major predictive factor of long-term response to splenectomy in immune thrombocytopenic purpura. Br J Hematol 2001; 112: 637-640.

  31. Shiino Y, Takahashi N, Okamoto T, Surgical treatments of chronic idiopathic thrombocytopenic purpura and prognostic factors for splenectomy. Int Surg 1996; 81: 140-143.

  32. Bussel J, Kaufmann C, Ware R, Woloski B. Do the acute platelet responses of patients with immune thrombocytopenic purpura (ITP) to IV anti-D and to IV gammaglobulin predict response to subsequent splenectomy? Am J Hematol 2001; 67: 27-33.

  33. Gadenstatter M, Lamprecht B, Klinger A. Splenectomy versus medical treatment for idiopathic thrombocytopenic purpura. Am J Surg 2002; 184: 606-610.

  34. Povedin G, Victor A, De Napoli S, Yves H, Leclair MD. Laparoscopic splenectomy: Comparison between anterior and lateral approaches. J Laparo Endosc Adv Surg Tech 2011; 9: 865-868.




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