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Related Experiment Videos

Laparoscopic versus open splenectomy in children.

R K Minkes1, M Lagzdins, J C Langer

  • 1Department of Surgery, St. Louis Children's Hospital and Washington University School of Medicine, MO, USA.

Journal of Pediatric Surgery
|May 17, 2000
PubMed
Summary

Laparoscopic splenectomy (LS) in children is a safe procedure with a low conversion rate, offering a shorter hospital stay than open splenectomy (OS) with similar costs.

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Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Review of initial experience with laparoscopic splenectomy (LS) in children.
  • Comparison of LS with open splenectomy (OS) regarding indications, success rates, and complications.

Purpose of the Study:

  • To evaluate the safety and efficacy of LS in pediatric patients.
  • To compare outcomes of LS versus OS in children.

Main Methods:

  • Retrospective review of 51 children who underwent splenectomy between 1993 and 1998.
  • Analysis of indications, operative details, complications, hospital stay, and costs for both LS and OS groups.

Main Results:

  • LS was performed in 35 children for various hematologic disorders; OS in 17.
  • Median blood loss was similar (50 mL) for both groups; no transfusions were required.
  • LS patients had a significantly shorter hospital stay (1.8 days vs. 4.0 days, P = .0001) with comparable total hospital charges.

Conclusions:

  • Laparoscopic splenectomy (LS) is a safe and effective procedure for children.
  • LS is associated with a low conversion rate (2.9%) and reduced hospital stay compared to open splenectomy (OS).
  • The total hospital cost for LS is comparable to OS.

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