title: Comparison of two minimal invasive techniques of splenectomy: Standard laparoscopy versus transumbilical multiport single-site laparoscopy with conventional instruments.
abstract: BACKGROUND
  Laparoendoscopic single-site (LESS) splenectomy which is performed on small number of patients, has been introduced with better cosmetic outcome, less postoperative pain, greater patient satisfaction and faster recovery compared to standard laparoscopy.
  
  
  METHODS
  Thirty six patients were included in the study comparing standard laparoscopic splenectomy (LS, 17 patients) transumbilical multiport splenectomy performed with conventional laparoscopic instruments (TUMP-LS, 19 patients). Two groups of patients were compared retrospectively by means of operation time, intra- and postoperative blood loss, perioperative complications, packed red cell and platelet requirements, lenght of hospitalization, pain scores and patient satisfaction.
  
  
  RESULTS
  There was no mortality in any of the groups, and no significant differences determined in operative time (P = 0,069), intraoperative blood loss (P = 0,641), patient satisfaction (P = 0,506), pain scores (P = 0,173) and the average length of hospital stay (P = 0,257). Umbilical incisions healed uneventfully and no hernia formation or wound infection was observed during follow-up period (2-34 months). There were no conversions to open surgery.
  
  
  CONCLUSIONS
  Transumbilical multiport splenectomy performed with the conventional laparoscopic instruments is feasible and could be a logical alternative to classical laparoscopic splenectomy by combining the advantages of single access techniques and standard laparoscopy.
authors.affiliation: Department of General Surgery, Istanbul Medeniyet University Goztepe Training and Research Hospital, Kadikoy, Turkey.
authors.forename: Baris
authors.initials: B
authors.lastname: Bayraktar
authors.affiliation: Department of General Surgery, Acibadem Atakent Hospital, Halkali, Turkey.
authors.forename: Onur
authors.initials: O
authors.lastname: Bayraktar
authors.affiliation: Department of General Surgery, Istanbul Medeniyet University Goztepe Training and Research Hospital, Kadikoy, Turkey.
authors.forename: Ibrahim Ali
authors.initials: IA
authors.lastname: Ozemir
authors.affiliation: Department of Haematology, Maltepe University, Maltepe, Turkey.
authors.forename: Ebru
authors.initials: E
authors.lastname: Kizilkilic
authors.affiliation: Department of Haematology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Kadikoy, Istanbul, Turkey.
authors.forename: Erman
authors.initials: E
authors.lastname: Ozturk
authors.affiliation: Department of General Surgery, Istanbul Medeniyet University Goztepe Training and Research Hospital, Kadikoy, Turkey.
authors.forename: Rafet
authors.initials: R
authors.lastname: Yigitbasi
keywords: Laparoscopy; single incision; spleen; splenectomy