Laparoscopic splenectomy in patients under the age of eighteen. Experience in 18 cases

Vecchio, Rosario and Marchese, Salvatore and Gelardi, Valentina and Vicari, Salvatore and Cacciola, Emma and Cacciola, Rossella Rosaria and Intagliata, Eva (2011) Laparoscopic splenectomy in patients under the age of eighteen. Experience in 18 cases. Il giornale di chirurgia, 32 (5). pp. 279-285. ISSN 1971-145X

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Abstract

Background. Pediatric surgery is now in the forefront of minimal access procedures. Although pediatric surgeons have been skeptic about laparoscopic splenectomy, recently minimally invasive approach for spleen removal has been revaluated also in young patients. Purpose of this study was to report Authors’ personal experience in patients under eighteen who underwent laparoscopic splenectomy. Results of the procedure were evaluated. Patients and ethods. A retrospective review was undertaken in 18 splenectomised patients under the age of eighteen. Indications were hereditary spherocytosis in 10 patients, β-thalassemia in 4, idiopathic thrombocytopenic purpura in 3 and a splenic cyst in 1 child. Results. No intra-operative complications occurred. No conversion to open surgery was reported. During the follow-up one case of portal vein thrombosis, treated by medical therapy, was encountered and no other postoperative complications were observed. Conclusions. Laparoscopic approach has to be preferable for all those children undergoing spleen surgery. In experienced hands, it is of beneficial effects with a very reasonable rate of complications.

Item Type:	Article
Uncontrolled Keywords:	Laparoscopic splenectomy - Pediatric surgery - Spleen diseases
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	05 May 2016 11:07
Last Modified:	05 May 2016 11:07
URI:	http://eprints.bice.rm.cnr.it/id/eprint/7524

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