Laparoscopic Splenectomy Coupled with Laparoscopic Cholecystectomy

被引:20
作者
Vecchio, Rosario [1 ]
Intagliata, Eva [1 ]
Marchese, Salvatore [1 ]
La Corte, Francesco [1 ]
Cacciola, Rossella Rosaria [2 ]
Cacciola, Emma [2 ]
机构
[1] Univ Catania, Dept Surg, I-96011 Augusta, Italy
[2] Univ Catania, Dept Biomed Sci, Hematol Unit, I-96011 Augusta, Italy
关键词
Laparoscopic surgery; Laparoscopic splenectomy; Laparoscopic cholecystectomy; GALLSTONES; PARAMETERS; EXPERIENCE; MANAGEMENT; CHILDREN; SURGERY;
D O I
10.4293/108680813X13693422518434
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background and Objectives: The aim of this study was to evaluate the results of laparoscopic surgery performed for coexisting spleen and gallbladder surgical diseases. Methods: Between May 2004 and October 2012, 12 patients underwent concomitant laparoscopic splenectomy and cholecystectomy. Indications for surgery included idiopathic thrombocytopenic purpura in 5 patients, hereditary spherocytosis in 4 patients, and thalassemia intermedia in 3 patients. Results: The mean operative time was 100 minutes (range, 80-160 minutes), and the blood loss ranged from 0 to 150 mL (mean, 50 mL). The mean longitudinal diameter of the spleen was 14 cm. One patient required conversion to open procedure. An accessory spleen was detected and removed in one case. The mean length of hospital stay was 5 days. No deaths or other major intraoperative and/or postoperative complications occurred. Conclusion: Provided that the technique is performed by an experienced surgical team, concomitant laparoscopic splenectomy and cholecystectomy is a safe and feasible procedure and may be considered for coexisting spleen and gallbladder diseases.
引用
收藏
页码:252 / 257
页数:6
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