Related Experiment Video

Updated: Aug 11, 2026

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
02:09

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

Perioperative management in children with sickle cell disease undergoing laparoscopic surgery

Claudio Sandoval1, Gustavo Stringel, M Fevzi Ozkaynak

  • 1Department of Pediatrics, New York Medical College, Westchester Medical Center, Valhalla 10595, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|May 11, 2002
PubMed

Insights

Laparoscopic surgery is safe for pediatric patients with sickle cell disease. Careful perioperative management, including transfusion guidelines and pulmonary care, can reduce complications like acute chest syndrome.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Hematology

Background:

  • Sickle cell disease (SCD) presents unique challenges for surgical management.
  • Laparoscopic surgery offers potential benefits in terms of recovery and morbidity.

Purpose of the Study:

  • To evaluate the safety and outcomes of laparoscopic surgery in children diagnosed with sickle cell disease.
  • To identify key factors influencing perioperative management and complication rates.

Main Methods:

  • A retrospective chart review analyzed 13 pediatric patients with SCD undergoing laparoscopic procedures.
  • Data collected included surgical indications, perioperative care, operative details, complications, and hospital stay.
  • All procedures were performed by a single pediatric surgeon.

Main Results:

  • Indications included symptomatic cholelithiasis/cholecystitis (9), splenic sequestration (3), and hypersplenism/cholelithiasis (1).
  • Median operative time was 150 minutes with a median hospitalization of 3 days.
  • Four patients experienced postoperative complications: 2 with acute chest syndrome, 1 with abdominal pain (retained CBD stone), and 1 with priapism. All resolved with treatment.

Conclusions:

  • Laparoscopic surgery is a safe and viable option for children with sickle cell disease.
  • Meticulous perioperative management, transfusion protocols, and pulmonary care are crucial for minimizing complications, particularly acute chest syndrome.
Abstract

More Related Videos

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...