Outcomes of laparoscopic versus open splenectomy

Hakan Bulus; Hatim Mahmoud; Hasan Altun; Adnan Tas; Kaan Karayalcin

추천

검색

질문

자료유형: 학술저널

저자정보: Hakan Bulus (Kecioren Training and Research Hospital) Hatim Mahmoud (TOBB University of Economics and Technology (ETU) Hospital) Hasan Altun (Etlik Training and Research Hospital) Adnan Tas (Osmaniye Public Hospital) Kaan Karayalcin (Ankara University Faculty of Medicine)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.84 No.1

발행연도: 2013.1

수록면: 38 - 42 (5page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: Laparoscopic techniques have gained wide clinical acceptance in surgical practice today. The laparoscopic approach has been established as the technique of choice for elective splenectomies performed on normal sized spleens. The purpose of this study was to evaluate the outcome of patients undergoing laparoscopic splenectomy (LS) at the TOBB University of Economics and Technology (ETU) Hospital and Kecioren Training and Research Hospital. Methods: One hundred and thirty-five patients underwent splenectomy between January 2000 and July 2010. For comparison, the records of 130 patients undergoing splenectomy were evaluated for age, gender, hospital stay, time to start of diet, conversion rate, operation time and wound infection. Results: Mean operation time means the time interval between surgeon commencing operation to end of operation. Mean operation time in patients treated by LS was 132 minutes and 121 minutes in open splenectomy (OS). Mean hospital stay was 5.65 days in patients undergoing LS and starting of diet was 1.21 days. In patients treated by OS, mean hospital stay was 9.17 days, starting of diet was 2.37 days. Four patients were converted to open surgery. Conversion rate was 6.4 percent. In the early post operative period (within 10 days of surgery) 9.2%, LS group had lower incidences of wound infection rate after surgery than OS group (4.8%, 7.4%, respectively; P = 0.06). Conclusion: LS is a safe and effective alternative to OS for treatment of splenic diseases in patients of all ages.

#Laparoscopy #Splenectomy

참고문헌 (18)

참고문헌 신청

1. [학술지(정기간행물)] - Glasgow RE / 1997 / Laparoscopic splenectomy. The emerging standard / Surg Endosc 11 : 108 ~ 112

2. [학술지(정기간행물)] - Delaitre B / 1991 / Splenectomy by the laparoscopic approach. Report of a case / Presse Med 20 : 2263 ~

3. [학술지(정기간행물)] - Hashizume M / 1992 / Laparoscopic splenectomy with an ultrasonic dissector / N Engl J Med 327 : 438 ~

4. [학술지(정기간행물)] - Glasgow RE / 1999 / Laparoscopic splenectomy / World J Surg 23 : 384 ~ 388

5. [학술지(정기간행물)] - Tsiotos G / 1997 / Laparoscopic splenectomy for immune thrombocytopenic purpura / Arch Surg 132 : 642 ~ 646