Applications of laparoscopic technique in spleen surgery

F. Yong, W. Chen, P. Lan, Z. Youcheng

Department of Minimal Access Surgery, Lanzhou University Second Hospital, Lanzhou City, Gansu Province, China. fanyong1972@163.com

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• Surgery

OBJECTIVES: To improve the safety of laparoscopic splenectomy by reviewing the procedures and complications resulting from the surgery.

PATIENTS AND METHODS: The clinical data of 68 laparoscopic splenectomy patients were collected, analyzed and compared to 47 open splenectomy cases from May 2009 to May 2012, which were performed in our hospital. We summarized the data, skill level, and complications which resulted from the surgery.

RESULTS: Sixty eight patients had successful laparoscopic splenectomies performed with less operative time, intraoperative blood loss, post op recovery time and LOS [length of stay] and compared it to 47 open splenectomy cases during the same period. All had significant statistical differences. The resulting complications from the surgeries had no statistical difference between the two groups.

CONCLUSIONS: Laparoscopic splenectomy is the safest and most efficient choice for splenectomies. The procedure has all the advantages of minimally invasive surgical technology.

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