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Laparoscopic splenectomy: outcomes and lessons learned from over 200 cases
A E Park1, G Birgisson, M J Mastrangelo
1Department of Surgery, University of Kentucky Chandler Medical Center, Lexington, KY, USA.
Surgery
|October 3, 2000
Summary
Laparoscopic splenectomy (LS) is a safe and feasible procedure for patients of all ages. This study shows a high success rate and low complication rate for LS.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Gastrointestinal Surgery
Background:
- Laparoscopic splenectomy (LS) is an evolving surgical procedure.
- Perioperative data from LS procedures were prospectively collected.
- Lessons learned from the evolution of LS were reviewed.
Purpose of the Study:
- To evaluate prospectively gathered perioperative patient data for laparoscopic splenectomy (LS).
- To review lessons learned in the evolution of the LS procedure.
Main Methods:
- A prospective study was conducted at two university medical centers.
- 203 patients underwent laparoscopic splenectomy (LS) between November 1993 and March 2000.
- Preoperative evaluations were performed for all patients.
Main Results:
- Laparoscopic splenectomy (LS) was successful in 97% of cases (197/203).
- The mean operative time was 145.5 minutes, with an average length of stay of 2.7 days.
- Complications occurred in 9.3% of patients, with no procedure-attributed deaths.
Conclusions:
- Laparoscopic splenectomy (LS) using the lateral approach is safe and feasible.
- The procedure is suitable for patients across all age groups.
- High success rates and low complication rates support the use of LS.