Martínez PE, Fernández RL, Bressler HN, Torres CR

Language: Spanish
References: 17
Page: 203-211
PDF size: 129.87 Kb.

ABSTRACT

Introduction: Laparoscopic splenectomy in benign hematological illnesses is the most frequent laparoscopic surgery on solid organs. Methods: The surgical results from patients who underwent laparoscopic splenectomy in the Medical Surgical Research Center are presented here. The series accounted for four male patients whose average age was 30 years (25 years to 47 years). Results: The surgical average time was about 132 min (45 min to 210 min). Platelet transfusion was not necessary for any of the patients in the study. No patient had accessory spleen. Conversion to open surgery was not needed. There were no postoperative complications. There was no mortality in this series. The postoperative hospitalization covered an average of 2,5 days (2 to 4 days). Conclusions: Laparoscopic splenectomy is a safe alternative for patients with benign hematological illnesses.

REFERENCES

1. Delaitre B, Maignien B. Splenectomie par voie coelioscopique: Une observation Press Med. 2001;44:22-3.

2. Gargiulo N, Zenilman M. Splenectomy for hematologic disorders. En: Cameron JL, editors. Current surgical therapy. St Louis: Mosby, Inc; 2001: 587-91.

3. Trias M, Targorana EM, Espert JJ, Halagué C. Laparoscopic surgery for esplenic disorders. Surg Endosc. 1998;12(1):66-72.

4. Delaitre B. Laparoscopic splenectomy. The “hanged spleen” technique. Surg Endosc. 1995;9:528-9.

5. Delaitre B, Pitre J. Laparoscopic splenectomy versus open splenectomy: a comparative study. Hepato Gastroenterol. 1997;44:45-9.

6. Szold A, Sagi B, Merhav H, Klausner J. Optimizing laparoscopic splenectomy. Technical details and experience in 59 patients. Surg Endosc. 1998;12(8):1078-81.

7. Smith C, Meyer T, Goretski M. Laparoscopic splenectomy by the lateral approach: a safe and effective alternative to open splenectomy for hematologic diseases. Surg. 1996;120(5):789-94.

8. Park A, Gagner M, Pomp A. The lateral approach to laparoscopic splenectomy. Am J Surg. 1997;173(2):126-30.

9. Cadiere G, Verroken R, Himpens J. Operative strategy in laparoscopic splenectomy. J Am Coll Surg. 1994;179(6):668-72.

10. Wadham B, Adams P, Jonson M. Incidence and localization of accessory spleens. N Engl J Med. 1981;304(18):1111.

11. Yee L, Carvajal S, De Lorimier A. Laparoscopic splenectomy. The initial experience at University of California. San Francisco: Arch Surg. 1995;130(8): 874-9.

12. Najean Y, Dufour V, Rain J, Toubert M. The site of platelet destruction in thrombocytopenic purpura as a predictive index of the efficacy of splenectomy. Br J Haematol. 1991;79(2):271-6.

13. Berchtold P, McMillan R. Therapy of chronic idiopathic thrombocitopenic purpura in adults. Blood. 1989;74(7):2309-17.

14. Flowers J, Lefor A, Steers J, Heyman M, Graham S, Imbembo A. Laparoscopic splenectomy in patients with hematologic diseases. Ann Surg. 1996;224(1):19-28.

15. Poulin E. Laparoscopic splenectomy. En: Eubanks S, Swanström L, Soper N, editors. Mastery of Endosopic and Laparoscopic Surgery. Philadelphia: Lippincott Williams & Wilkins. 2000. p. 306-19.

16. Katkhouda N, Hurwitz M, Rivera R. Laparoscopic splenectomy: outcome and efficacy in 103 consecutive patients. Ann Surg. 1998;228(4):568-78.

17. Bresler L, Guerci A, Brunaud L. Laparoscopic splenectomy for idiopathic thrombocitopenic purpura: outcome and long-term results. World J Surg. 2002;26(1):111-4.