Background: In 1991, Delaitre et al. reported the first successful laparoscopic splenectomy. This procedure has become the best option in patients with hematological diseases and who require surgical treatment. The potential advantages of the laparoscopic approach over the conventional surgery are shorter length of hospital stay, shorter time to resume normal diet and decreased rates of morbidity and mortality.
Methods: From June 1993 to December 2004, 42 patients underwent laparoscopic splenectomy in our two surgical care centers: Texas Endosurgery Institute and Hospital San José-TEC de Monterrey. The measured variables to evaluate efficacy and safety were operating time, length of hospital stay, time to resume normal diet, conversion to open procedure, morbidity and mortality.
Results: Hematological diseases were the most common diagnosis. The procedure was technically successful in 95% of the patients. There were two conversions to open surgery. The mean operating time was 120 min. Mortality rate was 2.3%. The mean length of hospital stay and time to resume normal diet were 4 and 2 days, respectively.
Conclusions: We regard that our series contributes to supporting laparoscopic splenectomy as a safe and effective method, retaining some advantages of minimally invasive techniques.
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Article Synopsis
- Hypersplenism and esophageal variceal hemorrhage are serious complications of decompensated cirrhosis caused by portal hypertension.
- Although various non-surgical treatments have emerged, surgical options like splenectomy combined with pericardial devascularization (SPD) remain crucial in China for treating these conditions.
- The article emphasizes the effectiveness of laparoscopic splenectomy combined with pericardial devascularization (LSPD) as a minimally invasive surgical technique, highlighting the importance of surgeon skill for successful outcomes.
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