Laparoscopic splenectomy: A retrospective review of 75 cases.
Laparoscopic splenectomy (LS) is considered a safe procedure for spleens of normal size as well as for larger spleens. Seventy-five consecutive patients underwent LS. Splenomegaly was defined by diameter >15 cm and by weight >400 g. Thirty patients had splenomegaly. The outcomes with spleens <15 cm and spleens >15 cm were compared. LS was successfully completed in 73 cases (97.4%). Spleens >15 cm required longer operating time and were associated with greater blood loss (P < 0.001), longer hospital stay, and more complications. Two patients needed blood transfusion. No overwhelming postsplenectomy infection was registered, and operative mortality was zero.
Pugliese
R
R
Department of General and Emergency Surgery, Hospital Niguarda, Ca'Granda Milano, Italy. chirurgiaurgenza@ospedaleniguarda.it
Sansonna
F
F
Scandroglio
I
I
Maggioni
D
D
Ferrari
G C
GC
Di Lernia
S
S
Costanzi
A
A
Grillo
G
G
Cimbanassi
S
S
Chiara
O
O
D000293:Adolescent; D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D013156:Splenectomy / Q000379:methods*; D013163:Splenomegaly / Q000601:surgery; D013997:Time Factors