Laparoscopic splenectomy for XXXX . A 1-year follow-up study.

@entity1 @entity3039 @entity190 @entity260
BACKGROUND: Laparoscopic splenectomy is a novel approach for the treatment of @entity3039 ( @entity3039 ) in @entity1 requiring surgical intervention. This technique was used for treatment in 16 consecutive @entity1 . Follow-up was initiated at a median of 13.5 months after surgery to determine whether or not laparoscopic splenectomy is a safe and successful procedure that should be used in all @entity1 requiring splenectomy for @entity3039 . METHODS: Sixteen @entity1 underwent laparoscopic splenectomy for @entity3039 between May 1994 and September 1996. They were evaluated prospectively prior to surgery, immediately following surgery, at discharge, and at 13.5 months following surgery (n = 14) to determine the short- and long-term results of the procedure. RESULTS: Mean operation time was 123.4 +/- 12.1 min, and there were no significant @entity260 . Mean intraoperative @entity190 was 437.5 +/- 73.5 ml. Autologous blood transfusion was necessary in one @entity1 (6.3%). Mean organ weight was 202.2 +/- 47.3 g. Mean postoperative hospital stay was 4.6 +/- 0. 4 days. Before discharge, mean platelet count rose by 100.7%. At follow-up (13.5 months postoperatively), it was 77.7% above preoperative values. No additional surgery was necessary in any of the @entity1 undergoing laparoscopic splenectomy, and hematologic success was achieved in 12 @entity1 (85.7%). CONCLUSIONS: Our results clearly indicate that laparoscopic splenectomy is a safe and successful procedure in @entity1 suffering from @entity3039 . It offers the well-known advantages of minimal invasive surgery as well as the surgical effectiveness of the open approach. This surgical technique should therefore be considered in all @entity1 requiring splenectomy for the treatment of @entity3039 .
