[Robot-assisted and laparoscopic partial splenectomy for nonparasitic cysts].
21 patients with nonparasitic spleen cysts were operated. Robot-assisted (RA) interventions were applied in 10 cases, laparoscopic--in 11 patients. Men surgery duration was 124 minutes in case of RA-technique and 120 minutes if laparoscopy was used. Blood loss was significantly lower in the group of RA resection (p=0.035). There were no conversions of access in the group of RA-operations while in group of laparoscopy conversion has been required in 1 case. We did not observe complications in case of RA-surgeries. Laparoscopic method was associated with 2 complications (left-sided hydrothorax and fluid accumulation in resection area). Postoperative hospital-stay did not differ in both groups and was 7.1 and 6.4 room-nights in case of RA-interventions and laparoscopy respectively. There were no deaths. Indications for robot-assisted partial splenectomy for nonparasitic cysts include location of mass in upper pole or hilus of spleen, its diameter more than 8 cm, body mass index more than 30 and splenomegaly. Lower pole resection and splenectomy are more advisable using laparoscopic method.
A.V. Vishnevskiy Institute of Surgery Russian Ministry of Health, Moscow, Russia.
S V
SV
Berelavichus
A.V. Vishnevskiy Institute of Surgery Russian Ministry of Health, Moscow, Russia.
A V
AV
Smirnov
A.V. Vishnevskiy Institute of Surgery Russian Ministry of Health, Moscow, Russia.
D A
DA
Ionkin
A.V. Vishnevskiy Institute of Surgery Russian Ministry of Health, Moscow, Russia.
A G
AG
Kriger
A.V. Vishnevskiy Institute of Surgery Russian Ministry of Health, Moscow, Russia.
R S
RS
Dugarova
D000293:Adolescent; D000328:Adult; D003560:Cysts / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012371:Robotics / Q000379:methods*; D013156:Splenectomy / Q000379:methods*; D013158:Splenic Diseases / Q000601:surgery*; D055815:Young Adult