[Comparison of laparoscopic and open splenectomy]. / Laparoscopos és nyitott splenectomia összehasonlítása.
Magy Seb
; 66(1): 14-20, 2013 Feb.
Article
em Hu
| MEDLINE
| ID: mdl-23428723
ABSTRACT
INTRODUCTION:
Conventional operative techniques are gradually being replaced by minimally invasive surgical methods in the surgery of the spleen. We summarized our 10-year-experience after the introduction of laparoscopic splenectomy at the University of Szeged, Department of Surgery, comparing open and minimally invasive techniques. MATERIAL ANDMETHOD:
Between 1st January 2002 and 1st December 2011 we performed 141 splenectomies of which 17 were acute operations. Of the 124 elective procedures 54 were laparoscopic and 70 open operations. In 40 cases (open procedures) splenectomy was part of multivisceral surgery which were excluded from the analysis. In this retrospective analysis a comparison of laparoscopic and open elective technique was carried out.RESULTS:
Average operating time of laparoscopic procedures was slightly longer than that of open technique (133 vs. 122 minutes, p = 0.074). After the learning period, duration of laparoscopic procedures became shorter (first five years 147 min., second five years 118 min, p = 0.003), larger spleens were removed (220 vs. 450 grams, p = 0.063) and conversion rate became lower. In cases of laparoscopic procedures fewer reoperations needed to be performed (1.5% vs. 6%, p = 0.718), bowel motility recovered earlier (2 vs. 3 days, p = 0.002) and hospital stay was shorter (5 vs. 8 days, p ≤ 0.001).CONCLUSION:
Our study proves that laparoscopic splenectomy is a safe method with many advantages. Our results correlate with data of international publications.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Esplenectomia
/
Esplenopatias
/
Laparoscopia
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
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Male
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Middle aged
Idioma:
Hu
Revista:
Magy Seb
Ano de publicação:
2013
Tipo de documento:
Article