Safe Stapleless Laparoscopic Splenectomy; Use Of Hem-O-Lok To Control The Splenic Hilum.

Area of Science:

• Pediatric Surgery
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Laparoscopic splenectomy is a common procedure for pediatric benign hematological diseases.
• Effective splenic pedicle control is crucial for patient safety and successful outcomes.
• Evaluating novel surgical tools like Hem-o-Lok clips is essential for optimizing surgical techniques.

Purpose of the Study:

• To assess the feasibility, safety, and cost-effectiveness of using Hem-o-Lok polymer clips.
• To evaluate Hem-o-Lok clips for controlling the splenic artery and vein during pediatric laparoscopic splenectomy.

Main Methods:

• A prospective study involving 23 children (<18 years) with benign hematological diseases undergoing laparoscopic splenectomy.
• Hem-o-Lok polymer clips were utilized for splenic pedicle management.
• Patients were monitored for operative time, bleeding, conversion rates, and postoperative complications.

Main Results:

• The study included 23 pediatric patients (mean age 8.74 years) with conditions like thalassemia major and spherocytosis.
• No conversions to open surgery or mortality were reported.
• Minor intraoperative bleeding occurred in 8.7% of cases, with all managed laparoscopically; no postoperative bleeding or transfusions were required.

Conclusions:

• Hem-o-Lok polymer clips provide a feasible and safe method for splenic pedicle control in pediatric laparoscopic splenectomy.
• The use of Hem-o-Lok clips is deemed cost-effective, offering a viable alternative for surgical teams.
• This technique facilitates early ambulation and drain removal, improving patient recovery.