Laparoscopic splenectomy.
Patients undergoing laparoscopic splenectomy were observed for their postoperative recovery and development of complications. It was a retrospective analysis done at Services Hospital and National Hospital and Medical Center, Lahore, from January 2010 to December 2012. A total of 13 patients underwent laparoscopic splenectomy and were included in the study. Patients were followed for their postoperative recovery and development of any complications. The median age of patients was 19 years ranging from 13 to 69 years. Accessory spleens were removed in 3 patients. Mean operating time was 158 minutes. One operation had to be converted to open because of uncontrolled hemorrhage. Six patients experienced postoperative complications including unexplained hyperpyrexia (n=2), pleural effusion (n=4) and prolonged pain > 48 hours (n=1). No deaths or infections were seen. Seven out of 8 patients with idiopathic thrombocytopenic purpura developed a positive immediate response to the splenectomy, defined as a platelet count greater than 100 x 109/L after the surgery, which was maintained without medical therapy. Mean hospital stay was 5.5 days. Average time to return to activity was 15 days. All patients were followed for 6 months and no follow-up complications were noted.
Department of Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
Irfan
I
Javed
Department of Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
Awais Amjad
AA
Malik
Department of Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
Ahsan
A
Khan
Department of Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
Allahnawaz
Department of Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
Romaisa
R
Shamim
Department of Surgery, Services Institute of Medical Sciences, Services Hospital, Lahore.
Mahmood
M
Ayyaz
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010043:Outcome and Process Assessment, Health Care; D011183:Postoperative Complications; D011184:Postoperative Period; D012189:Retrospective Studies; D013156:Splenectomy / Q000379:methods* / Q000706:statistics & numerical data*; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography; D055815:Young Adult