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Related Experiment Videos

The lateral approach for open splenectomy

J D Geiger1, V V Dinh, D H Teitelbaum

  • 1Department of Surgery, University of Michigan Medical School and C.S. Mott Children's Hospital, Ann Arbor, USA.

Journal of Pediatric Surgery
|August 7, 1998
PubMed
Summary
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Open lateral splenectomy in children offers shorter surgical times and less blood loss compared to laparoscopic approaches. This technique provides excellent cosmetic results and a comparable length of stay without complications.

Area of Science:

  • Pediatric Surgery
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Laparoscopic splenectomy (LS) is increasingly used for pediatric hematologic disorders.
  • Traditional open splenectomy (OS) involves vertical or subcostal incisions.
  • This study evaluates an alternative OS approach: lateral, muscle-splitting incision.

Purpose of the Study:

  • To compare the outcomes of open splenectomy (OS) using a lateral muscle-splitting approach with laparoscopic splenectomy (LS) in children.
  • To assess the feasibility and safety of the lateral OS technique.

Main Methods:

  • Retrospective review of 39 consecutive open splenectomies (OS) performed between 1991 and 1995.
  • Patients included children with immune thrombocytopenic purpura, hereditary spherocytosis, and sickle cell anemia.

Related Experiment Videos

  • OS performed via a left upper abdominal muscle-splitting incision, sparing the rectus muscle.

    • Main Results:

    • All 39 cases completed without intraoperative complications.
    • Average surgical time: 98.0 minutes; average blood loss: 89 mL.
    • Average length of stay: 2.7 days; no mortality or morbidity.

    Conclusions:

    • Open lateral splenectomy demonstrates shorter surgical times and reduced blood loss compared to reported LS outcomes.
    • The lateral OS approach offers excellent cosmetic results and a comparable length of stay.
    • This OS technique provides a viable alternative and a basis for comparison with LS in pediatric patients.