•  
  •  
 

Corresponding Author

Ahmed Soliman

Document Type

Original Article

Abstract

Objectives: Currently, it is unknown whether laparoscopic splenectomy is successful and safe for all individuals. Although laparoscopic splenectomy is an evolving technique, its techniques are developing rapidly.

Aim: To evaluate laparoscopic splenectomy in children and adolescents regarding the safety, efficacy, intraoperative difficulties, and postoperative primary outcomes.

Patients and methods : This was a prospective study conducted at general and pediatric surgery departments, Al-Azhar University Hospitals' and submitted for patients with laparoscopic splenectomy in the period from May 2023 to February 2024.

Results: Thirty patients were included in our study. With a broad age span from 4 to 18 years (mean age of 12.90±4.82 years), the mean of Operative time (mins) was 122.50±19.51; 29 patients had intraoperative mild bleeding (96.7 %) about 155.83±106.11 (ml), Blood transfusion was indicated in one patient packed RBCS (3.3%) and indicated for conversion to open; Regarding postoperative complications, five patients developed fever (16.7%); 3 patients developed ileus (10.0%), and two patients developed infection of the surgical incision (6.7%), The range of hospitalization was 2 to 4 days with mean 2.97±0.61; while 26 patients (86.7%) were highly satisfied by operation (score 5) and four patients (13.3%) were somewhat satisfied (score 4).

Conclusion: The outcomes of this study demonstrated that laparoscopic splenectomy is a safe, feasible, and efficient technique. The advantages included fast recovery, a short hospital stay, a low risk of complications, and excellent cosmetic results. Careful patient selection is important for the laparoscopic approach to achieve maximum benefits.

Keywords

Splenomegaly; Laparoscopic splenectomy; pediatrics; safety

Subject Area

General Surgery

Download

Share

COinS