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
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