Comparative analysis of laparoscopic versus open splenectomy

American Journal of Surgery
L Michael BruntE D Whitman

Abstract

Laparoscopic splenectomy (LS) has been used to treat a variety of splenic disorders. However, there have been few direct comparisons of this approach with open splenectomy (OS). Results and outcomes were compared retrospectively in 46 consecutive patients treated by laparoscopic (n = 26) or open splenectomy (n = 20) from January 1990 through March 1996. The two groups were similar in age, sex, and American Society of Anesthesiology classification. Splenectomy was performed for a variety of indications, and the majority of patients in both groups had normal or near-normal size spleens. All data are expressed as mean +/- standard deviation. Laparoscopic splenectomy was successfully completed in all 26 attempted cases. Operative times were significantly longer for LS (202 +/- 55 minutes) than for OS (134 +/- 43 minutes) (P < 0.001); however, operative times in the last 13 LS cases (176 +/- 48 minutes) averaged 51 minutes less than in the first 13 cases (227 +/- 51 minutes). Estimated operative blood loss was less for LS (222 +/- 280 mL) than for OS (376 +/- 500 mL) (P = not significant). A mean of 2.0 units of red blood cells was transfused in 4 (15%) of 26 patients during LS vs 1.0 unit transfused in 2 (10%) of 20 patients who ha...Continue Reading

References

May 1, 1981·Archives of Surgery·S J MintzR C Richards
Oct 1, 1995·The Australian and New Zealand Journal of Surgery·J KolliasP Malycha
Jul 1, 1995·Annals of Surgery·M RhodesG Fielding
Apr 1, 1995·Surgical Endoscopy·W S LaycockJ G Hunter
Aug 1, 1994·Surgical Endoscopy·E H PhillipsM J Fallas
Feb 10, 1994·The New England Journal of Medicine·N J SoperK Kerbl
Jan 1, 1996·Journal of Pediatric Surgery·P G JanuT E Lobe

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Citations

Jun 1, 2011·Pediatric Surgery International·James H WoodMoritz M Ziegler
Jan 25, 2006·Surgical Endoscopy·S V KantsevoyA N Kalloo
Nov 15, 2006·Surgical Endoscopy·Edward P DominguezJohn F Sweeney
Jul 3, 2008·Surgical Endoscopy·Vadim MakrinAmir Szold
Mar 26, 2010·Surgical Endoscopy·Melissa M MurphyJennifer F Tseng
Jun 7, 2008·Journal of Hepato-biliary-pancreatic Surgery·Takashi HamaHiroki Yamaue
Jul 19, 2011·International Journal of Hematology·Lee Lai HengBeng H Chong
Oct 2, 2012·The Indian Journal of Surgery·Deepraj S BhandarkarTehemton E Udwadia
May 30, 2001·American Journal of Surgery·B T HenifordR F Sing
Mar 29, 2002·American Journal of Surgery·Kent W KercherB Todd Heniford
Apr 29, 1999·American Journal of Surgery·K TanoueK Sugimachi
Sep 15, 2000·The Surgical Clinics of North America·N Katkhouda, E Mavor
Feb 28, 2001·Current Surgery·U B. ChuM J. Mastrangelo
Feb 1, 2002·Surgery·Kazuo TanoueMakoto Hashizume
Jan 30, 2002·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·N KatkhoudaA M Kaiser
Feb 20, 2003·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Rosario VecchioBruce V MacFadyen
Jan 22, 2004·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Abdulkadir BedirliYucel Aritas
May 10, 2003·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·H YanoS Okamoto
Mar 18, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Pradeep K ChowbeyManish Baijal
Dec 27, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Fabrizio RomanoMassimo Saviano
Jul 23, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Rosario VecchioEva Intagliata
Oct 28, 1998·Annals of Surgery·N KatkhoudaJ Mouiel
May 10, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·D B JonesL M Brunt
Aug 30, 2001·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·A CogliandoloO S Marc
Dec 24, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Bernard DelaitreGérard Champault
Sep 10, 2003·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hiroshi YanoShigeru Okamoto
Oct 23, 2003·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Kent W KercherDemetrius E M Litwin
Jun 29, 2006·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hiroki UchidaSeigo Kitano
Jun 16, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Alfons PompDaniel Herron
Aug 6, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Enis YüneyOmer Bender
Jul 30, 2009·Annals of Surgery·Steven M StrasbergWilliam G Hawkins
Oct 3, 2006·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Z K OtrockA I Shamseddine
Jul 9, 2004·Digestive Surgery·Hiroshi YanoTakushi Monden
Sep 26, 2002·Surgical Endoscopy·P TorelliG F Silecchia

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