Comparative evaluation of laparoscopic splenectomy versus open splenectomy

Authors

  • H. I. Okhrimenko Zaporizhzhia State Medical University, Ukraine.,
  • M. H. Holovko Zaporizhzhia State Medical University, Ukraine,
  • V. A. Hrushka Zaporizhzhia State Medical University, Ukraine,
  • Ye. I. Haidarzhi Zaporizhzhia State Medical University, Ukraine,
  • O. O. Pоdluzhnyi Zaporizhzhia State Medical University, Ukraine,

DOI:

https://doi.org/10.14739/2310-1210.2018.5.141721

Keywords:

hematologic, hypertension portal, splenomegaly, hypersplenism, laparoscopy, splenectomy

Abstract

The aim of research: to study the short-term treatment results in patients with blood diseases, portal hypertension, pathology of the spleen who underwent laparoscopic splenectomy based on the surgical indications in comparison with the treatment results in the patients who underwent open surgery.

Materials and methods. The results of treatment for 50 patients with blood diseases, portal hypertension and pathology of the spleen were analyzed. The main group consisted of 15 patients who underwent laparoscopic splenectomy. The control group comprised 35 patients who underwent open surgery.

Results. The spleen sizes detected on CT in the control group patients were significantly larger in comparison with the spleen sizes in the main group patients. Profuse bleeding as an intraoperative complication was observed in 2 (13.33 %) patients of the main group that was the reason for a conversion. There were no postoperative complications and fatal cases in contrast to the control group.

Conclusions. It has been established that laparoscopic splenectomy should be performed for moderate splenomegaly up to20 cm. To prevent a profuse bleeding during this operation the meticulous hemostasis is needed indefinitely.

 

References

Chulkova, S. V., Stilidi, I. S., Glukhov, E. V., Grivtsova, L. Y., Nered, S. N., & Tupitsyn, N. N. (2014). Selezenka – perifericheskij organ immunoj sistemy. Vliyanie splenektomii na immunnyj status [The spleen as a peripheral immunity organ. splenectomy effect on the immunity status]. Vestnik RONC im. N.N. Blokhina RAMN, 25(1–2), 21–25. [in Russian].

Klimanskij, V. A. (1991). Splenektomiya v gematologii: pokazaniya, opasnosti, al'ternativy khirurgicheskomu vmeshatel’stvu [Splenectomy in gematology: medical reasons, hazards, alternatives to surgical intervention]. Terapevticheskij arkhiv, 63(7), 14–18. [in Russian].

Khvorostov, Ye. D., Dushyk, L. M., & Cherkova, N. V. (2011). Obhruntuvannia vyboru sposobu splenektomii pry zakhvoriuvanniakh systemy krovi [Substantiation of a choice of a spleenectomy method at diseases of blood system]. Shpytalna khirurhiia, 4, 69–71. [in Ukrainian].

Unanyan, M. K., Shabunin, A. V., Mumladze, R. B., & Melkonyan, G. G. (2015). Videolaparoskopicheskaya splenektomiya u gematologicheskikh bol’nykh v usloviyakh splenomegalii [Videolaparoscopic splenectomy in gematology patients with splenomegaly]. Moskovskij khirurgicheskij zhurnal, 4(44), 5–8. [in Russian].

Khvorostov, E. D., & Semenenko, I. A. (2001). Laparoskopicheskaya splenektomiya kak metod vybora v khirurgicheskom lechenii bol’nykh s zabolevaniyami sistemy krovi [Laparoscopic spleenectomy as a method of choice in surgical treatment of blood system disease patients]. Visnyk Kharkivskoho natsionalnoho universytetu, 523, 113–116. [in Russian].

Karagyulyan, S. R., Danishyan, K. I., Shutov, S. A., & Silaev, M. A. (2017). Tekhnicheskie slozhnosti vypolneniya splenektomii pri zabolevaniyakh sistemy krovi [Technical Problems of Splenectomy in Hematological Diseases]. Klinicheskaya onkogematologiya. Fundamental'nye issledovaniya i klinicheskaya praktika, 10(1), 101–107. [in Russian]. doi: 10.21320/2500-2139-2017-10-1-101-107.

Dushik, L. N. (2015). Vybor metoda splenektomii pri gematologicheskoj patologii [The choice of splenectomy method at hematological diseases]. Medytsyna sohodni i zavtra, 2(67), 94–97. [in Russian].

Timens, W., & Leemans, R. (1992). Splenic autotransplantation and the immune system. Adequate testing required for evaluation of effect. Ann.Surg., 215(3), 256–260.

Delaitre, B., & Pitre, J. (1997). Laparoscopic splenectomy versus open splenectomy: a comparative study. Hepatogastroenterology, 44(13), 45–49.

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How to Cite

1.
Okhrimenko HI, Holovko MH, Hrushka VA, Haidarzhi YI, Pоdluzhnyi OO. Comparative evaluation of laparoscopic splenectomy versus open splenectomy. Zaporozhye medical journal [Internet]. 2018Sep.24 [cited 2024Apr.19];(5). Available from: http://zmj.zsmu.edu.ua/article/view/141721

Issue

No. 5 (2018)

Section

Original research

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