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Lateral Versus Anterior Approach Laparoscopic Splenectomy: A Randomized-controlled Study.
Adel Fathi1, Osama Eldamshety, Osama Bahy
1General Surgery Department, Oncology Centre of Mansoura University, Gharbya, Egypt.
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|November 16, 2016
Summary
The lateral approach for laparoscopic splenectomy (LLS) offers a shorter hospital stay and reduced operation time compared to the anterior approach (ALS). This minimally invasive technique is a safe and feasible option for patients requiring splenectomy.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Gastroenterology
Background:
- Laparoscopic splenectomy is a common procedure for splenomegaly.
- Choosing the optimal surgical approach is crucial for patient outcomes.
Purpose of the Study:
- To prospectively compare hospital stay and postoperative complications between anterior (ALS) and lateral (LLS) approaches for laparoscopic splenectomy.
Main Methods:
- A randomized controlled trial involving 80 patients with splenomegaly.
- Patients were allocated to either ALS or LLS groups.
- Outcomes included hospital stay, operation time, blood loss, and complication rates.
Main Results:
- The lateral approach (LLS) resulted in a significantly shorter mean hospital stay (P=0.001) and operation time (P=0.013).
- Time to oral intake and drain removal were also significantly shorter with LLS (P=0.019 and P=0.011, respectively).
- No significant differences were observed in blood loss, transfusion rates, or conversion to open surgery between the groups.
Conclusions:
- The lateral approach (LLS) for laparoscopic splenectomy is a safe and feasible option.
- LLS is associated with improved patient recovery, evidenced by shorter hospital stays and faster resumption of normal activities.
