Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2016  |  Volume : 35  |  Issue : 3  |  Page : 231-235

Outcomes of laparoscopic splenectomy in benign hematologic and splenic diseases in children


Department of Pediatric Surgery, Faculty of Medicine, El-Minia University Hospital, El-Minia University, El-Minia, Egypt

Correspondence Address:
Mohamed Rabea
Department of Pediatric Surgery, Faculty of Medicine, El-Minia University Hospital, El-Minia University, El-Minia
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-1121.189411

Rights and Permissions

Objective The aim of this study is to evaluate the safety and efficacy of laparoscopic splenectomy (LS) in the management of benign hematologic and splenic diseases in children. Patients and methods Thirty-eight patients, with the mean age of 10.4±4.3 years, underwent LS between May 2010 and November 2014; out of them, 92.1% suffered from benign hematologic diseases and 7.9% suffered from benign splenic diseases. The indication of splenectomy was different according to the underlying disease. Results The rate of conversion to open surgery was 5.2% and to hand-assisted procedure was 7.8%. The mean operative time was 148.4±26.7?min and the mean duration of hospital stay was 4.5±1.6 days. Five (13.1%) patients had accessory spleen diagnosed and removed successfully and one patient was diagnosed with missed accessory spleen. Postoperative complications were observed in five (13.1%) patients, which are wound infection (one patient), incisional hernia (one patient), upper respiratory tract infection (two patients), and missed accessory spleen (one patient). No mortality was reported in the study. Conclusion LS is well tolerated and effective in the management of benign hematologic and splenic diseases. It has many advantages over open surgery and should be the standard option in the surgical treatment of such cases.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed214    
    Printed9    
    Emailed0    
    PDF Downloaded45    
    Comments [Add]    

Recommend this journal