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Laparoscopic Treatment of Splenomegaly

Laparoscopic Treatment of Splenomegaly ORIGINAL ARTICLE A Case for Hand-Assisted Laparoscopic Surgery Andrea Pietrabissa, MD; Luca Morelli, MD; Andrea Peri, MD; Luigi Pugliese, MD; Sandro Zonta, MD; Paolo Dionigi, MD; Franco Mosca, MD Hypothesis: Hand-assisted laparoscopic surgery (HALS) pared between patients undergoing HALS vs conven- is a safe therapeutic approach to remove megaspleens of tional laparoscopy. any size. Conventional laparoscopic splenectomy for splenomegaly is difficult because of limited exposure Results: Splenomegaly was present in 85 patients, of and complex vascular control, with increased risk of in- whom 43 underwent HALS splenectomy and 42 under- traoperative bleeding and conversion to open surgery. went conventional laparoscopic splenectomy. The HALS HALS can overcome some of these limitations, reducing group had larger spleens. Rates of conversion to open sur- the risk of conversion to open surgery and resulting in a gery and operative mortality were similar in the HALS postoperative course similar to that of conventional group vs the conventional laparoscopy group (2.3% [1 laparoscopy. of 43] vs 2.4% [1 of 42] and 2.3% [1 of 43] vs 0.0% [0 of 42], respectively), with no difference in hospital length Design: Single-institution single-surgeon retrospec- of stay in the absence of morbidity. Portal system throm- tive review. bosis was http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Laparoscopic Treatment of Splenomegaly

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References (21)

Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/archsurg.2011.149
pmid
21768428
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE A Case for Hand-Assisted Laparoscopic Surgery Andrea Pietrabissa, MD; Luca Morelli, MD; Andrea Peri, MD; Luigi Pugliese, MD; Sandro Zonta, MD; Paolo Dionigi, MD; Franco Mosca, MD Hypothesis: Hand-assisted laparoscopic surgery (HALS) pared between patients undergoing HALS vs conven- is a safe therapeutic approach to remove megaspleens of tional laparoscopy. any size. Conventional laparoscopic splenectomy for splenomegaly is difficult because of limited exposure Results: Splenomegaly was present in 85 patients, of and complex vascular control, with increased risk of in- whom 43 underwent HALS splenectomy and 42 under- traoperative bleeding and conversion to open surgery. went conventional laparoscopic splenectomy. The HALS HALS can overcome some of these limitations, reducing group had larger spleens. Rates of conversion to open sur- the risk of conversion to open surgery and resulting in a gery and operative mortality were similar in the HALS postoperative course similar to that of conventional group vs the conventional laparoscopy group (2.3% [1 laparoscopy. of 43] vs 2.4% [1 of 42] and 2.3% [1 of 43] vs 0.0% [0 of 42], respectively), with no difference in hospital length Design: Single-institution single-surgeon retrospec- of stay in the absence of morbidity. Portal system throm- tive review. bosis was

Journal

JAMA Surgery – American Medical Association

Published: Jul 1, 2011

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