Open versus Laparoscopic Splenectomy: Experience at Fundación Cardioinfantil-Instituto de Cardiología, Bogotá-Colombia
| Autor: | Valbuena, Eduart, Mosquera, Manuel Santiago, Kadamani, Akram, Cabrera, Paulo Andrés, Sánchez, Luis Alfonso, Román, Carlos Fernando, Moreno-Medina, Karen |
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| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Iatreia, Vol 31, Iss 3, Pp 240-247 (2018) |
| Druh dokumentu: | article |
| ISSN: | 0121-0793 2011-7965 |
| DOI: | 10.17533/udea.iatreia.v31n3a02 |
| Popis: | Objective: To compare laparoscopic and open splenectomy in patients with hemorrhagic splenic pathology. Methods: A cross-sectional study was conducted, based on an institutional registry of open and laparoscopic splenectomies performed at Fundación Cardioinfantil-Instituto de Cardiología between 1996 and 2016. Preoperative, intraoperative and postoperative variables were assessed; the rate of complications, surgical time, hospital length of stay and the need for reoperation were compared between the approaches. Results: Information of 202 patients was assessed. Open approach was performed in 137 patients (68 %), 61% were men and the median age was 39.5 years (P25-P75 27.7-58.0). Thrombocytopenic purpura refractory to management with corticosteroids was the main indication for surgery. A longer surgical time (median=129 minutes) and less bleeding (median=100 cc P25-P75 50-200) for laparoscopic approach versus open approach (median=60 minutes; median=250 cc P25-P75 50-500, respectively) was identified (p |
| Databáze: | Directory of Open Access Journals |
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