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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Laparoscopic versus open splenectomy: a single center eleven-year experience
Nikola Jankulovski1, Svetozar Antović, Gordana Petrusevska
1Department of Abdominal Surgery, Medical Faculty of Skopje, Ss Cyril and Methodius University, 50 Divizija No. 6, 1000 Skopje, Republic of Macedonia. prof.jankulovski@gmail.com
Acta Clinica Croatica
|September 24, 2013
Summary
Laparoscopic splenectomy (LS) offers a safe and effective alternative to open splenectomy (OS), demonstrating shorter hospital stays and reduced blood transfusion needs for hematologic conditions.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Splenectomy is a common surgical procedure for various hematologic conditions and trauma.
- Open splenectomy (OS) has been the traditional approach, but minimally invasive techniques are evolving.
Purpose of the Study:
- To compare the outcomes of open splenectomy (OS) versus laparoscopic splenectomy (LS) over an 11-year period.
- To evaluate the safety and efficacy of LS for spleen removal.
Main Methods:
- Retrospective analysis of clinical and demographic data from 201 splenectomies.
- Classification of patients based on surgical approach: OS and LS.
- Comparison of outcomes including hospital stay and blood transfusion requirements.
Main Results:
- Laparoscopic splenectomy (LS) for hematologic causes resulted in significantly shorter hospital stays (6.87 days) and less blood transfusion compared to OS (9.84 days).
- Open splenectomy (OS) for trauma cases showed longer hospital stays and higher blood requirements than for hematologic causes.
- Laparoscopic splenectomy (LS) was found to be a safe procedure for spleen removal.
Conclusions:
- Laparoscopic splenectomy (LS) is a safe and advantageous approach for patients requiring splenectomy, particularly for hematologic indications.
- The study supports the wider adoption of LS as a preferred method over OS due to improved patient outcomes.
