Comparative assessment of outcomes following laparoscopic verses open splenectomy for paediatric haematological disorders
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 3, Issue 1
Abstract
Objectives: To compare the outcomes and to evaluate the safety and feasibility of laparoscopic splenectomy in children with haematological disorders as compared to open splenectomy. Methods: 65 patients underwent either laparoscopic(n=32) or conventional open splenectomy (n=33) during period of May 2010 to May 2015. The records of patients were evaluated for age, gender, hospital stay, time to start oral feed, conversion rate, operation time and post-operative course. Results: LS was performed in 32 patients with a mean age of 9.09±2.51years and OS was performed in 33 patients with a mean age of 9.24±2.62 years. The two groups were similar in terms of sex, age, diagnosis, duration of disease, preoperative platelet count, and spleen size. LS was associated with significantly longer operating time 127.65±29.75 vs. 67.05±9.30 minutes, LS was associated with significantly lower intra-operative blood loss 48.75±29.12 vs. 58.78±12.75 ml, less time of post-op mobilization 28.75±11.21 vs. 38.75±6.93 Hrs, lower total dose of analgesics requirement 5.28±1.83 vs. 6.10±1.39 days, more rapid resumption of oral diet 29.65±16.01 vs. 37.51±13.55 hours; and a shorter postoperative hospital stay 6.32±1.49 vs. 7.45±0.86 days. Conclusion: The laparoscopic approach to splenectomy is feasible and safe. Despite a longer operating time, the postoperative recovery following laparoscopic splenectomy is smoother, with lower morbidity and shorter postoperative hospital stay compared with open splenectomy.
Authors and Affiliations
Nitin Dnyaneshwar Sherkar, Nilesh Nagdeve, Vishal Tarale
Keywords
Related Articles
- EP ID EP212520
- DOI -
- Views 241
- Downloads 0
Astudy of open approach versus laparoscopic surgery for the management of groin hernia at tertiary health care centre
Background: Hernia is the abnormal exit of an organ or fatty tissue, such as the bowel, through the wall of the cavity in which it normally resides. Aims and Objectives:To Study open approach versus laparoscopic surgery...
Comparison of sentinel lymph node biopsy versus four node sampling for management of carcinoma breast
Background: Breast cancer is the leading malignancy, and the second leading cause of cancer related deaths. It is well established that axillary lymph node status is a very important prognostic factor in breast cancer pa...
Comparison of clinical examination, USG, USG guided FNAC study of cervical lymphnodes in oral malignancy
Background: Various tools for the staging of lymph nodes used are clinical examination, ultrasonography, USG-guided fine needle aspiration cytology. In rural setup, USG and USG FNAC are commonly used along with clinical...
Perforator based flaps in leg reconstruction
Background: Perforator flaps have recently become ubiquitous in the field of plastic surgery. To understand and appreciate their unique nature, it is necessary to compare and contrast them with the development of other t...
Surgical management of carcinoma urinary bladder at tertiary care teaching hospital in central India
Background: Surgery a very important part of the management of invasive urinary bladder cancer, used mostly in the more classical approach (i.e. radical cystectomy with or without bladder reconstruction) or as a componen...