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Single-incision pediatric endosurgery (SIPES) splenectomy: a case-control series
Lena Perger1, Charles J Aprahamian, Oliver J Muensterer
1Division of Pediatric Surgery, Department of Surgery, Scott and White Hospital, 2401 S. 31st St., Temple, TX 76508, USA. lperger@sw.org
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|January 19, 2013
Summary
Single-incision pediatric endosurgery (SIPES) splenectomy is a viable alternative to conventional laparoscopic splenectomy, offering comparable outcomes with potentially superior cosmetic results for pediatric patients.
Area of Science:
- Pediatric surgery
- Minimally invasive surgery
- Surgical techniques
Background:
- Single-incision pediatric endosurgery (SIPES) is an emerging surgical approach.
- Splenectomy is a common procedure in pediatric surgery.
Purpose of the Study:
- To evaluate the authors' experience with SIPES splenectomy in children.
- To compare SIPES splenectomy with conventional laparoscopic splenectomy.
Main Methods:
- Prospective data collection for SIPES splenectomy cases.
- Retrospective data collection for conventional laparoscopic splenectomy cases.
- Comparison of outcomes between SIPES and conventional laparoscopic splenectomy groups.
Main Results:
- Sixteen pediatric patients underwent SIPES splenectomy.
- Common indications included hereditary spherocytosis, sickle cell disease, and immune thrombocytopenic purpura.
- Operative times and conversion rates were comparable between SIPES and conventional laparoscopic splenectomy.
Conclusions:
- SIPES is a suitable technique for pediatric splenectomy.
- Adequate visualization and working angles are maintained.
- SIPES offers comparable operative times and hospital stays to laparoscopic splenectomy, with potential cosmetic benefits.