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Application of Microwave Ablation in Laparoscopic Partial Splenectomy
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Laparoscopic Splenectomy for Trauma.

Adeel Ahmed Shamim1, Syed Nabeel Zafar2, Wasay Nizam1

  • 1Department of Surgery, Howard University Hospital, Washington, DC, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 5, 2019
PubMed
Summary

Laparoscopic splenectomy (LS) is increasingly used in trauma care and shows similar outcomes to open splenectomy (OS) in selected patients. This minimally invasive approach is safe for trauma patients requiring spleen removal.

Keywords:
Laparoscopic splenectomyLaparoscopic surgeryOpen splenectomy

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Area of Science:

  • Trauma surgery
  • Minimally invasive surgery
  • Surgical outcomes

Background:

  • Laparoscopic splenectomy (LS) use is growing in trauma surgery.
  • Comparative outcomes between LS and open splenectomy (OS) in trauma patients are not well-defined.

Purpose of the Study:

  • To evaluate the safety and efficacy of laparoscopic splenectomy (LS) compared to open splenectomy (OS) in trauma patients.
  • To analyze outcomes including mortality, length of stay, and complications.

Main Methods:

  • Analysis of the National Trauma Database (2007-2015).
  • Inclusion of patients undergoing total splenectomy, excluding those with other abdominal operations.
  • Comparison of outcomes between LS and OS groups using bivariate and propensity score-matched regression analyses.

Main Results:

  • A total of 25,408 patients underwent OS and 113 underwent LS.
  • No significant differences in length of stay, major complications, or mortality between LS and OS groups.
  • Adjusted multivariate analysis confirmed no overall difference in outcomes between the two surgical approaches.

Conclusions:

  • Laparoscopic splenectomy is a safe procedure for selected trauma patients.
  • Outcomes of LS in trauma are comparable to those of open splenectomy.
  • The use of LS in trauma settings is increasing nationwide.