Laparoscopic Versus Open Splenectomy: A Single Center Eleven-Year Experience

Autor: Nikola Jankulovski, Svetozar Antović, Gordana Petruševska, Kemal Rušiti, Ognen Kostovski, Aleksandar Mitevski, Aleksandar Stojanović
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Acta clinica Croatica
Volume 52.
Issue 2.
ISSN: 1333-9451
0353-9466
Popis: The 11-year experience with open (OS) and laparoscopic (LS) splenectomy at a single center is reported. A total of 201 splenectomies were performed and clinical and demographic data were retrospectively analyzed. Patients were classified according to the type of operation as LS or OS. The mean age of patients was 45.1±17.1, and 141 patients were male. Out of 43 LS, 40 were done for hematologic causes, and they had a significantly shorter hospital stay compared to OS for hematologic causes (6.87±2.2 vs. 9.84±2.9 days; p=0.000003) and significantly less requirement for blood transfusion (26.2±93.4 vs. 132.4±252.3 mL; p=0.0152). In the OS group, comparison of patients with trauma and those with hematologic causes showed that significantly more males underwent surgery for trauma causes (35 of 43 vs. 16 of 21), hospital stay was longer (18.9±27.4 vs. 9.8±2.9 days) and blood requirement higher (708.1±603.7 mL vs. 132.4±252.3 mL; p=0.0004, p=0.047 and p=0.000001, respectively). Laparoscopic splenectomy is a safe procedure for spleen removal.
U radu je prikazano 11-godišnje iskustvo s otvorenom splenektomijom (OS) i laparoskopskom splenektomijom (LS) u jednom centru. Ukupno je izvedena 201 splenektomija, a klinički i demografski podaci su analizirani retrospektivno. Bolesnici su grupirani prema tipu operacije: OS ili LS. Srednja dob bolesnika bila je 45,1±17,1 godina, a ukupno je bio 141 bolesnik muškog spola. Od 43 bolesnika s LS 40 ih je podvrgnuto splenektomiji zbog hematoloških uzroka i oni su imali značajno kraću hospitalizaciju u usporedbi s OS izvedenom zbog hematoloških uzroka (6,87±2,2 prema 9,84±2,9 dana; p=0,000003), kao i značajno manju potrebu za transfuzijom krvi (26,2±93,4 mL prema 132,4±252,3 mL; p=0,0152). U skupini OS je usporedba bolesnika s traumom i onih operiranih zbog hematoloških uzroka pokazala značajno veći broj bolesnika muškog spola operiranih zbog traume (35 od 43 prema 16 od 21), dužu hospitalizaciju (18,9±27.4 prema 9,8±2,9 dana) i veću potrebu za transfuzijom krvi (708,1±603,7 mL prema 132,4±252,3 mL; p=0,0004, p=0,047 odnosno p=0,000001). Laparoskopska splenektomija je siguran zahvat za uklanjanje slezene.
Databáze: OpenAIRE
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