Robotic vs laparoscopic splenectomy for splenomegaly: A retrospective comparative cohort study.
Int J Surg
; 55: 1-4, 2018 Jul.
Article
em En
| MEDLINE
| ID: mdl-29753953
ABSTRACT
BACKGROUND:
The aim of this study was to evaluate the role of robotic total splenectomy for splenomegaly, comparing this approach with the laparoscopic technique.METHODS:
We conducted a retrospective review of all patients who underwent minimally invasive splenectomy for splenomegaly (maximum splenic diameter>15â¯cm) at our institution between 2000 and 2017.RESULTS:
A total of 39 patients (27 laparoscopic vs 12 robotic splenectomies) were included in the study. Operative time was significantly longer in the robotic group (270â¯min vs 180â¯min, pâ¯=â¯0.007). Median intraoperative blood loss was 350â¯ml for laparoscopic procedures while it was 100â¯ml for the robotic ones (pâ¯=â¯0.032). Conversion to open surgery was required in 4 cases of laparoscopic splenectomy while no conversion were registered in the robotic group. No significant differences were seen in postoperative morbidity and mortality between the two groups.CONCLUSIONS:
Robotic splenectomy for splenomegaly is associated with less blood loss and longer operative times than the laparoscopic procedure.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Esplenectomia
/
Esplenomegalia
/
Laparoscopia
/
Procedimentos Cirúrgicos Robóticos
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article