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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
SOTELO-ESTEVEZ, Julio C.; SOUZA-GALLARDO, Luis M.; KIM-KOH, Min J. and ORELLANA-PARRA, Juan C.. Laparoscopic splenectomy, an efficient option in a second level hospital. Cir. cir. [online]. 2019, vol.87, n.1, pp.23-27. Epub Nov 29, 2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.18000383.
Introduction:
Laparoscopic splenectomy was reserved for selected cases, however and because of the improvement in surgical technique and laparoscopic instruments, nowadays, there are few contraindications.
Method:
Retrospective and observational study of patients surgically treated of laparoscopic splenectomy secondary to hematologic diseases in a period span of 6 years. We analyzed demographic, preoperative, transoperative and postoperative variables.
Results:
We studied eight patients, 62.5% were men with a mean age of 47.5 years. The most frequent hematologic diagnosis was idiopathic thrombocytopenic purpura (50%). The approach was laparoscopic in 100%. Median surgical time was 129.87 min and median transoperative bleeding was 396.25 cc. Median length of resected spleen was 15 cm. Median time for oral feeding was 20.62 h and total hospital stay was 4 days. There was only one reported complication.
Conclusion:
Laparoscopic splenectomy represents a safe and feasible option with rapid recovery and few complications.
Keywords : Laparoscopic; Splenectomy; Surgery; Hematologic diseases.