Our clinical experience on laparoscopic splenectomy: Outcomes of 38 patients

Zübeyir Bozdağ; Ahmet Türkoğlu; Bekir Taşdemir; Abdullah Oğuz; Sinan Dal; Abdullah Karakuş; Hıdır Budak; Metehan Gümüş

Article Details

Our clinical experience on laparoscopic splenectomy: Outcomes of 38 patients

Authors:

Zübeyir Bozdağ | Ahmet Türkoğlu | Bekir Taşdemir | Abdullah Oğuz | Sinan Dal | Abdullah Karakuş | Hıdır Budak | Metehan Gümüş

Publisher:

Dicle University

Journal:

Dicle Medical Journal 2015 Vol.42 Issue 4, pp.480-484

Document Type:

Article

Publication Date:

1/2016

Document Language:

Turkish

Document ID (Org No.):

2000947198

Frequency:

Quarterly

eISSN:

1308-9889

pISSN:

1300-2945

Keywords:

Abstract:

 


Objective: Laparoscopic splenectomy has gained widespread acceptance in the treatment of hematological diseases in recent years. In this study, we aimed to present the outcomes of the patients who underwent laparoscopic splenectomy.

Methods: Between 2012 and 2015, the data of 38 patients, who underwent laparoscopic splenectomy for hematological diseases at our clinic, were evaluated retrospectively.

Results: 15 males and 23 females patients were underwent laparoscopic splenectomy, and the average age was 33.9 ± 12.9 years. Indications for splenectomy were idiopathic thrombocytopenic purpura (ITP) in 34 patients, and hereditary spherocytosis in 4 patients. During the surgical exploration, accessory spleen was detected in 7 patients, and removed. Laparoscopic cholecystectomy was performed at the same session in 2 hereditary spherocytosis patients who had stones in the gallbladder. One patient was converted to the open surgery due to the bleeding which was eliminated the exposure during the dissection. At the postoperative period, we observed atelectasis in one patient, and wound fat necrosis in one patient. In addition, thrombocytosis was observed in one patient. Hematological treatment was continued because of persistent refractory thrombocytopenia in two patients, and temporary thrombocytopenia in four patients. An accessory spleen was detected with splenic scintigraphy in one of these patients at the postoperative period. The average hospitalization time was 2.6 ± 0.7 days.

Conclusion: Laparoscopic splenectomy for hematological diseases may be considered as first-line therapy with less hospital stay and morbidity.

Key words: Laparoscopic splenectomy, hematologic disease, outcome

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Article Details

Our clinical experience on laparoscopic splenectomy: Outcomes of 38 patients

Authors:

Zübeyir Bozdağ | Ahmet Türkoğlu | Bekir Taşdemir | Abdullah Oğuz | Sinan Dal | Abdullah Karakuş | Hıdır Budak | Metehan Gümüş

Publisher:

Dicle University

Journal:

Dicle Medical Journal 2015 Vol.42 Issue 4, pp.480-484

Document Type:

Article

Publication Date:

1/2016

Document Language:

Turkish

Document ID (Org No.):

2000947198

Frequency:

Quarterly

eISSN:

1308-9889

pISSN:

1300-2945

Laparoskopik splenektomi

hematolojik hastalıklar

sonuçlar

Issues

Article Details

Our clinical experience on laparoscopic splenectomy: Outcomes of 38 patients

Authors: Zübeyir Bozdağ | Ahmet Türkoğlu | Bekir Taşdemir | Abdullah Oğuz | Sinan Dal | Abdullah Karakuş | Hıdır Budak | Metehan Gümüş

Publisher: Dicle University

Journal: Dicle Medical Journal 2015 Vol.42 Issue 4, pp.480-484

Document Type: Article

Publication Date: 1/2016

Document Language: Turkish

Document ID (Org No.): 2000947198

Frequency: Quarterly

eISSN: 1308-9889

pISSN: 1300-2945

Laparoskopik splenektomi

hematolojik hastalıklar

sonuçlar

Issues

Authors:

Zübeyir Bozdağ | Ahmet Türkoğlu | Bekir Taşdemir | Abdullah Oğuz | Sinan Dal | Abdullah Karakuş | Hıdır Budak | Metehan Gümüş

Publisher:

Dicle University

Journal:

Dicle Medical Journal 2015 Vol.42 Issue 4, pp.480-484

Document Type:

Article

Publication Date:

1/2016

Document Language:

Turkish

Document ID (Org No.):

2000947198

Frequency:

Quarterly

eISSN:

1308-9889

pISSN:

1300-2945