Document Detail


Laparoscopic splenectomy. The emerging standard.
MedLine Citation:
PMID:  9069137     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The purpose of this study was to evaluate the outcome of patients undergoing laparoscopic splenectomy (LS) at the University of California, San Francisco. METHODS: The medical records of the initial 52 unselected patients undergoing LS were reviewed and compared to 28 concurrently treated open splenectomy patients (OS). RESULTS: Patients did not differ with regard to age, gender, body, or splenic weights. The operative time was longer in the LS patients (mean 196 vs 156 min), but the length of stay and duration of ileus were shorter in the LS group. For adult patients admitted exclusively for splenectomy, operative times did not differ between LS and OS and total hospital cost was less in the LS group (mean $8, 939 vs $14,022). Six patients required conversion to OS, four occurring in the first 11 patients treated (overall conversion rate of 11%). Three patients died from complications related to their underlying disease. Two other major complications occurred. Complication rates and transfusion requirements did not differ between OS and LS patients. CONCLUSIONS: Laparoscopic splenectomy is a safe and effective alternative to open splenectomy for treatment of hematologic diseases in patients of all ages.
Authors:
R E Glasgow; L F Yee; S J Mulvihill
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Surgical endoscopy     Volume:  11     ISSN:  0930-2794     ISO Abbreviation:  Surg Endosc     Publication Date:  1997 Feb 
Date Detail:
Created Date:  1997-05-01     Completed Date:  1997-05-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  108-12     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of California, San Francisco, 533 Parnassus Avenue, U-122, San Francisco, CA 94143-0788, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Chi-Square Distribution
Child
Child, Preschool
Evaluation Studies as Topic
Female
Hematologic Diseases / physiopathology,  surgery*
Humans
Laparoscopy / adverse effects,  methods*
Length of Stay
Male
Middle Aged
Prognosis
Splenectomy / adverse effects,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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