Analysis of the surgical treatment of the patients operated on by using laparoscopic and classic splenectomy due to benign disorders of the spleen
Vladimir Milosavljevic1, Boris Tadic1, Nikola Grubor1, Dragan Eric1, Milorad Reljic1, Slavko Matic2
1Department of Hepatobiliary and Pancreatic Surgery, Clinic of Digestive Surgery, Clinical Centre of Serbia, Belgrade, Serbia
2Department of Surgery , Belgrade University School of Medicine, Belgrade, Serbia
Objective: Laparoscopic splenectomy became the standard surgical procedure in the 1990s. The goal of this study was to analyze the outcome of the patients who underwent laparoscopic splenectomy for the benign hematologic diseases of the spleen and compare its results with open splenectomy.
Material and Methods: The study was conducted as a retrospective cohort study analyzing and comparing the data obtained from 196 patients’ case records in the Clinic for Digestive Surgery, Clinical Center of Serbia, for the benign disorders of the spleen, divided into two groups: patients operated with laparoscopic technique and patients in whom classic splenectomy was performed. The analyzed parameters were divided into three groups as preoperative, intraoperative and postoperative.
Results: In the laparoscopic splenectomy group, less intraoperative blood loss, lower incidental intraoperative complications and a shorter duration of surgery were recorded. The incidence of postoperative complications and reoperations was higher in the group of classically operated patients. Postoperative recovery, expressed by the duration of postoperative abdominal drainage, recovery of intestinal peristalsis and length of postoperative hospitalization, was significantly shorter in the laparoscopic group.
Conclusion: Laparoscopic splenectomy is an effective and safe surgical procedure in the treatment of many benign diseases of the spleen. Improvement of the laparoscopic technique of surgical teams and technical improvement of the laparoscopic equipment can lead to even wider application of laparoscopic splenectomy as standard operative procedure, and thus to safer and better quality treatment of patients with wider spectrum diseases of the spleen.
Keywords: Laparoscopy, spleen, laparoscopic splenectomy, benign disorders of the spleen
Cite this article as: Milosavljevic V, Tadic B, Grubor N, Eric D, Reljic M, Matic S. Analysis of the surgical treatment of the patients operated on by using laparoscopic and classic splenectomy due to benign disorders of the spleen. Turk J Surg 2019; 35 (2): 111-116
Ethics committee approval was received for this study from the local ethics committee of the Clinical Centre of Serbia.
Written informed consent was obtained from patients who participated in this study.
Concept – V.M., B.T., N.G.; Design – V.M., B.T.; Supervision – S.M., D.E.; Resource – N.G., V.M.; Materials – B.T., M.R., N.G.; Data Collection and/or Processing – V.M., B.T., M.R.; Analysis and/or Interpretation – V.M., B.T., S.M.; Literature Search – M.R., D.E., N.G.; Writing Manuscript – V.M., B.T.; Critical Reviews – S.M., B.T., N.G.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.