20 years' experience with laparoscopic splenectomy. Single center outcomes of a cohort study of 500 cases

International Journal of Surgery
Dorota RadkowiakAndrzej Budzyński

Abstract

Laparoscopic splenectomy (LS) has become the gold standard in elective spleen surgery. Although it is considered relatively safe, treatment results vary depending on a hospital's profile and the experience of the surgeon and center. We would like to present experience of a high-volume referral center with minimally invasive operations of the spleen. The retrospective cohort study included consecutive patients undergoing laparoscopic splenectomy in tertiary referral surgical center in 1998-2017. The entire study population (500 patients) was grouped into 5 cohorts of 100 consecutively operated patients. The primary endpoints were short-term outcomes of LS and secondary - analysis of indications and operative technique. The study group consisted of 316 women and 184 men, 46 (28-59) years old on average. The most common indications for splenectomy were ITP (53%), lymphoma (21%) and spherocytosis (7%). Ratio of ITP versus other indications decreased significantly over time in favor of more difficult cases (<0.001). Average operative time of 100 (75-132.5) min and blood loss of 50 (20-150) ml were changing during study. Forty two patients required a blood transfusion with no difference among groups (p = 0.765). The use of postoperat...Continue Reading

Citations

Jul 1, 2020·Langenbeck's Archives of Surgery·L DegrateM Braga
May 8, 2019·Minerva chirurgica·Francesco SerraRoberta Gelmini
Sep 21, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Camila Girardi FachinAndré I B S Dias
Jan 16, 2019·Journal of Clinical Medicine·Roxana M DragomirCalin P Cobelschi
Jun 6, 2021·Medicina clínica·María L LozanoUNKNOWN Grupo Español de PTI (GEPTI)
Jul 1, 2021·Annals of Medicine and Surgery·Mohammad Gharieb KhirallahNagi Ebrahim El-Dessouki

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