Laparoscopic versus open splenectomy:a single center eleven-year experience

Jankulovski, Nikola and Antovic, Svetozar and Petrusevska, Gorgana and Rusiti, Kemal and Kostovski, Ognen and Mitevski, Aleksandar and Stojanovik, Aleksandar (2013) Laparoscopic versus open splenectomy:a single center eleven-year experience. Acta Clin Croat 2013; 52:229-234.

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The 11-year experience with open (OS) and laparoscopic (LS) splenectomy at a
single center is reported. A total of 201 splenectomies were performed and clinical and demographic
data were retrospectively analyzed. Patients were classified according to the type of operation as
LS or OS. The mean age of patients was 45.1±17.1, and 141 patients were male. Out of 43 LS, 40
were done for hematologic causes, and they had a significantly shorter hospital stay compared to OS
for hematologic causes (6.87±2.2 vs. 9.84±2.9 days; p=0.000003) and significantly less requirement
for blood transfusion (26.2±93.4 vs. 132.4±252.3 mL; p=0.0152). In the OS group, comparison
of patients with trauma and those with hematologic causes showed that significantly more males
underwent surgery for trauma causes (35 of 43 vs. 16 of 21), hospital stay was longer (18.9±27.4
vs. 9.8±2.9 days) and blood requirement higher (708.1±603.7 mL vs. 132.4±252.3 mL; p=0.0004,
p=0.047 and p=0.000001, respectively). Laparoscopic splenectomy is a safe procedure for spleen

Item Type: Article
Subjects: Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Divisions: Faculty of Medical Science
Depositing User: Aleksandar Mitevski
Date Deposited: 25 Jan 2021 08:36
Last Modified: 25 Jan 2021 08:36

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