Comparison of single port and three port laparoscopic splenectomy in patients with immune thrombocytopenic purpura: Clinical comparative study
Autor: | Ahmet Dinççağ, Mustafa Tukenmez, Nihat Aksakal, Ridvan Seven, Murat Kalayci, Selcuk Mercan, Umut Barbaros, Mustafa Sami Bostan, Orhan Agcaoglu, Berkay Kilic |
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Rok vydání: | 2015 |
Předmět: |
Laparoscopic surgery
medicine.medical_specialty single incision laparoscopic surgery single port access-laparoscopic splenectomy medicine.medical_treatment Splenectomy lcsh:Surgery Laparoscopic splenectomy splenectomy Port (medical) medicine In patient lcsh:RC799-869 Prospective cohort study Vas score business.industry lcsh:RD1-811 medicine.disease Thrombocytopenic purpura Surgery Immune thrombocytopenic purpura single port lcsh:Diseases of the digestive system. Gastroenterology Original Article business |
Zdroj: | Journal of Minimal Access Surgery Journal of Minimal Access Surgery, Vol 11, Iss 3, Pp 172-176 (2015) |
ISSN: | 0972-9941 |
DOI: | 10.4103/0972-9941.159853 |
Popis: | Aim: Single-port laparoscopic surgery (SILS) has become increasingly popular during the last decades. This prospective study was undertaken to evaluate the feasibility of single-port laparoscopic splenectomy compared with conventional multiport laparoscopic splenectomy. Materials and Methods: Between February 2, 2009 and August 29, 2011, a total of 40 patients with the diagnosis of immune thrombocytopenic purpura were included to study. Patients were alienated into two groups according to the procedure type including SILS and conventional multiport splenectomy. Results: There were 19 patients in group 1, and 21 in group 2. Operative time was significantly shorter in group 1 versus group 2 (112.4 ± 13.56 vs 71.2 ±18.1 minutes, respectively, P < 0.05). One patient in group 1 had converted to laparatomy due to preoperative bleeding. Postoperative pain analyses (VAS Score) revealed superiority of SILS in the early post-operative days (P < 0.05). Conclusions: SILS splenectomy is a safe and effective alternative to standard laparoscopic splenectomy. |
Databáze: | OpenAIRE |
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