Laparoscopic splenectomy: retrospective review of 45 patients

  • André Costa Pinho Interno de Formação Específica em Cirurgia Geral, Unidade Hepato-Bilio-Pancreática e Esplénica (HBPE) Serviço de Cirurgia Geral Hospital S. João/Faculdade de Medicina da Universidade do Porto, Portugal
  • Manuel Oliveira Assistente Hospitalar, Unidade Hepato-Bilio-Pancreática e Esplénica (HBPE) Serviço de Cirurgia Geral Hospital S. João/Faculdade de Medicina da Universidade do Porto, Portugal
  • Joaquim Guimarães Assistente Graduado, Unidade Hepato-Bilio-Pancreática e Esplénica (HBPE) Serviço de Cirurgia Geral Hospital S. João/Faculdade de Medicina da Universidade do Porto, Portugal
  • Humberto Cristino Assistente Hospitalar, Unidade Hepato-Bilio-Pancreática e Esplénica (HBPE) Serviço de Cirurgia Geral Hospital S. João/Faculdade de Medicina da Universidade do Porto, Portugal
  • José Costa Maia Chefe de Serviço, FACS, Unidade Hepato-Bilio-Pancreática e Esplénica (HBPE) Serviço de Cirurgia Geral Hospital S. João/Faculdade de Medicina da Universidade do Porto, Portugal

Abstract

Introduction: Laparoscopy has become the standard approach for the majority of splenectomy cases. This procedure bears low morbidity and mortality rates, with significant patient advantages. This article is a retrospective review of 45 patients submitted to laparoscopic splenectomy in our Center, and a comparison of the obtained data with those of other reports.

Methods: Retrospective review of 45 patients submitted to laparoscopic splenectomy between January, 2006 and April 2009. Several perioperative data were collected and compared with published reports.

Results: The median operative time was 117,8 (±45,4) min, with statistically significant correlation with the spleen weight. There were 4,4% of intra-operative complications, 2,2% conversion rate (to subcostal laparotomy), 11,1% of post-operative complications and 4,4% reintervention rate. The median hospital stay was 4 days.

Conclusion: Our results are similar to other published data, with less operative time and conversion rate but increased hospital stay. These results emphasize the feasibility and advantages of this procedure.

Keywords: Splenectomy, laparoscopy, minimally invasive surgery 

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Published
2010-06-24
How to Cite
PINHO, André Costa et al. Laparoscopic splenectomy: retrospective review of 45 patients. Revista Portuguesa de Cirurgia, [S.l.], n. 13, p. 25-29, june 2010. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/155>. Date accessed: 14 july 2024.
Section
Original Papers