PEDIATRIC LAPAROSCOPIC SPLENECTOMY

被引:24
作者
MOORES, DC
MCKEE, MA
WANG, HS
FISCHER, JD
SMITH, JW
ANDREWS, HG
机构
[1] LOMA LINDA UNIV,MED CTR,DEPT SURG,DIV PEDIAT SURG,LOMA LINDA,CA 92354
[2] LOMA LINDA UNIV,CHILDRENS HOSP,DIV PEDIAT SURG,LOMA LINDA,CA 92350
[3] KAISER PERMANENTE MED CTR,DEPT SURG,FONTANA,CA
关键词
LAPAROSCOPY; SPLENECTOMY;
D O I
10.1016/0022-3468(95)90022-5
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Laparoscopic surgery is becoming widely accepted as an alternative to conventional procedures. It is becoming more and more evident that laparoscopic techniques can be applied successfully to pediatric patients. Advantages of these techniques include less postoperative pain, decreased ileus, fewer pulmonary complications, and shorter hospital stays. Elective splenectomy for hematologic disease or for staging of Hodgkin's lymphoma also appears to be amenable to laparoscopic techniques. This report details 12 consecutive splenctomies successfully performed laparoscopically since July 1993. No case required conversion to laparotomy. Each case was reviewed with respect to operative time, estimated blood loss, identification of accessory spleens, time until full oral intake, analgesia requirements, and length of stay. Factors contributing to morbidity such as ileus, pulmonary complications, and wound infections were evaluated. Documentation was also reviewed for late sequelae such as intestinal obstruction and incisional hernias. These patients were compared with 20 consecutively treated patients who underwent open splenectomy in the period immediately preceding the use of laparoscopic splenectomy. Laparoscopic splenectomy, in the authors' experience, is a safe alternative to open splenectomy, has few complications, is cost effective, and has been well accepted by patients and families. Copyright (C) 1995 by W.B. Saunders Company
引用
收藏
页码:1201 / 1205
页数:5
相关论文
共 20 条
  • [1] BALLINGER WF, 1965, CURR PROB SURG, V2, P51
  • [2] Childers J M, 1993, J Laparoendosc Surg, V3, P495, DOI 10.1089/lps.1993.3.495
  • [3] Cuschieri A, 1992, J R Coll Surg Edinb, V37, P414
  • [4] LAPAROSCOPIC EVALUATION OF NONPALPABLE TESTES
    DAS, S
    [J]. UROLOGY, 1991, 37 (05) : 460 - 462
  • [5] THE TECHNIQUE OF LAPAROSCOPIC CHOLECYSTECTOMY IN CHILDREN
    DAVIDOFF, AM
    BRANUM, GD
    MURRAY, EA
    CHONG, WK
    WARE, RE
    KINNEY, TR
    PAPPAS, TN
    MEYERS, WC
    [J]. ANNALS OF SURGERY, 1992, 215 (02) : 186 - 191
  • [6] LAPAROSCOPIC SPLENECTOMY - TECHNICAL ASPECTS
    DELAITRE, B
    MAIGNIEN, B
    [J]. SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1992, 6 (06): : 305 - 308
  • [7] LAPAROSCOPIC GASTROSTOMY AND FUNDOPLICATION
    GEORGESON, KE
    [J]. PEDIATRIC ANNALS, 1993, 22 (11): : 675 - 677
  • [8] IS THERE A ROLE FOR LAPAROSCOPIC APPENDECTOMY IN PEDIATRIC-SURGERY
    GILCHRIST, BF
    LOBE, TE
    SCHROPP, KP
    KAY, GA
    HIXSON, SD
    WRENN, EL
    PHILIPPE, PG
    HOLLABAUGH, RS
    [J]. JOURNAL OF PEDIATRIC SURGERY, 1992, 27 (02) : 209 - 214
  • [9] JOPCKOVICH M, 1994, ANN SURG, V219, P615
  • [10] LEFOR AT, 1993, SURGERY, V114, P613