Laparoscopic splenectomy: case series of 24 patients

Introduction and Objective: Splenectomy has mostly been performed by open surgery. Laparoscopy seems to be a meaningful alternative to open technique. Materials and Methods: This study was done in patients presenting to hematology and surgery department of Civil Service Hospital who underwent lapa...

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Autores principales:	Vikal Chandra Shakya, Bishesh Paudyal
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	laparoscopic splenectomy thrombocytopenic purpura hemolytic anemia Surgery RD1-811
Acceso en línea:	https://doaj.org/article/cccf2dbf1a954719b882655cfee93958
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spelling	oai:doaj.org-article:cccf2dbf1a954719b882655cfee939582021-12-05T19:16:32ZLaparoscopic splenectomy: case series of 24 patients10.3126/jssn.v18i3.153111815-39842392-4772https://doaj.org/article/cccf2dbf1a954719b882655cfee939582016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15311https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction and Objective: Splenectomy has mostly been performed by open surgery. Laparoscopy seems to be a meaningful alternative to open technique. Materials and Methods: This study was done in patients presenting to hematology and surgery department of Civil Service Hospital who underwent laparoscopic splenectomy from January 2013 to November 2015 Results: There were 24 patients (16 females, 8 males). The diagnoses were idiopathic thrombocytopenic purpura in 19, hereditary spherocytosis in 2, @hemolytic anemia in 2, b-hemolytic anemia in 1. The mean operative time was 130+49 minutes. The mean postoperative stay was 5+2.11 days. Laparoscopic splenectomy could be completed in 21 patients. Rest 3 needed conversion to open (causes being excessive bleeding form splenic vein, splenic tear, and excessively low platelet counts). Three patients needed additional pfanneinsteil/lumbar incision to retrieve the spleen. Conclusion: Laparoscopic splenectomy could be successfully contemplated in patients with hematological diseases, more so if spleen is of normal or mildly enlarged; and could be an advantageous alternative to open splenectomy. Vikal Chandra ShakyaBishesh PaudyalSociety of Surgeons of Nepalarticlelaparoscopic splenectomythrombocytopenic purpurahemolytic anemiaSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	laparoscopic splenectomy thrombocytopenic purpura hemolytic anemia Surgery RD1-811
spellingShingle	laparoscopic splenectomy thrombocytopenic purpura hemolytic anemia Surgery RD1-811 Vikal Chandra Shakya Bishesh Paudyal Laparoscopic splenectomy: case series of 24 patients
description	Introduction and Objective: Splenectomy has mostly been performed by open surgery. Laparoscopy seems to be a meaningful alternative to open technique. Materials and Methods: This study was done in patients presenting to hematology and surgery department of Civil Service Hospital who underwent laparoscopic splenectomy from January 2013 to November 2015 Results: There were 24 patients (16 females, 8 males). The diagnoses were idiopathic thrombocytopenic purpura in 19, hereditary spherocytosis in 2, @hemolytic anemia in 2, b-hemolytic anemia in 1. The mean operative time was 130+49 minutes. The mean postoperative stay was 5+2.11 days. Laparoscopic splenectomy could be completed in 21 patients. Rest 3 needed conversion to open (causes being excessive bleeding form splenic vein, splenic tear, and excessively low platelet counts). Three patients needed additional pfanneinsteil/lumbar incision to retrieve the spleen. Conclusion: Laparoscopic splenectomy could be successfully contemplated in patients with hematological diseases, more so if spleen is of normal or mildly enlarged; and could be an advantageous alternative to open splenectomy.
format	article
author	Vikal Chandra Shakya Bishesh Paudyal
author_facet	Vikal Chandra Shakya Bishesh Paudyal
author_sort	Vikal Chandra Shakya
title	Laparoscopic splenectomy: case series of 24 patients
title_short	Laparoscopic splenectomy: case series of 24 patients
title_full	Laparoscopic splenectomy: case series of 24 patients
title_fullStr	Laparoscopic splenectomy: case series of 24 patients
title_full_unstemmed	Laparoscopic splenectomy: case series of 24 patients
title_sort	laparoscopic splenectomy: case series of 24 patients
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/cccf2dbf1a954719b882655cfee93958
work_keys_str_mv	AT vikalchandrashakya laparoscopicsplenectomycaseseriesof24patients AT bisheshpaudyal laparoscopicsplenectomycaseseriesof24patients
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Laparoscopic splenectomy: case series of 24 patients

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