Lateral Versus Anterior Approach Laparoscopic Splenectomy: A Randomized-controlled Study.
Surg Laparosc Endosc Percutan Tech
; 26(6): 465-469, 2016 Dec.
Article
em En
| MEDLINE
| ID: mdl-27846165
ABSTRACT
PURPOSE OF THE STUDY The study compares prospectively the hospital stay and postoperative complications of anterior (ALS) versus lateral (LLS) approach for laparoscopic splenectomy. MATERIALS AND METHODS:
Between September 2011 and April 2015, 94 patients with splenomegaly were referred to the surgical unit in the Oncology Center of Mansoura University, Egypt. Only 80 patients with splenomegaly <30 cm underwent an open-label randomized allocation into 2 equal parallel groups. Indications were hematological in 52 patients (65%) and malignant splenic conditions in 28 patients (35%). Two patients younger than 18 years, 4 patients with splenomegaly >30 cm, and 8 patients with associated surgical comorbidities were excluded. Three days' hospital stay reduction with LLS was suggested with a power of 80% and P-value of 0.05.RESULTS:
The mean hospital stay was significantly shorter (P=0.001) after LLS. Laparoscopic splenectomy was completed in 68 patients (85%). Twelve patients (15%) required open splenectomy with no difference between groups. The operation time was significantly shorter in LLS (P=0.013). Blood loss (P=0.057) and blood transfusion (P=0.376) showed no difference between the two groups. The times until resumption of oral intake (P=0.019) and drain removal (P=0.011) were statistically shorter in LLS.CONCLUSIONS:
LLS is more safe and feasible with shorter hospital stay compared with ALS.
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Base de dados:
MEDLINE
Assunto principal:
Esplenectomia
/
Esplenomegalia
/
Laparoscopia
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article