[Optimization of laparoscopic splenectomy at children]

Area of Science:

• Pediatric Surgery
• Hematology
• Minimally Invasive Procedures

Context:

• Benign hematological diseases, including congenital microspheric anemia, thalassemia, and idiopathic thrombocytopenic purpura, can coexist with cholelithiasis in children.
• Surgical intervention for cholelithiasis in these patients presents unique challenges due to potential hemostasis system disorders.

Purpose:

• To evaluate the safety and efficacy of laparoscopic cholecystectomy in pediatric patients with benign hematological diseases and concomitant cholelithiasis.
• To assess the impact of optimized surgical techniques on functional and cosmetic outcomes, operative time, blood loss, and complication rates.

Summary:

• A study of 130 pediatric patients (ages 1-16) with benign hematological diseases underwent laparoscopic cholecystectomy for gallstones.
• Optimized techniques reduced operative time (average 64.67 min) and hemorrhage (average 62.91 ml), avoiding complications.
• Laparoscopy is deemed the preferred method for children requiring splenectomy, irrespective of age, spleen size, or hemostasis status.

Impact:

• Laparoscopic cholecystectomy provides excellent functional and cosmetic results in pediatric patients with benign hematological conditions.
• This minimally invasive approach is suitable for children with severe hemostasis disorders, establishing it as the method of choice.
• The study highlights the feasibility and benefits of laparoscopic surgery in a challenging pediatric patient population.