Comparative evaluation of laparoscopic splenectomy versus open splenectomy
The aim of research: to study the short-term treatment results in patients with blood diseases, portal hypertension, pathology of the spleen who underwent laparoscopic splenectomy based on the surgical indications in comparison with the treatment results in the patients who underwent open surgery....
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Zaporizhzhia State Medical and Pharmaceutical University
2018-10-01
|
| Series: | Zaporožskij Medicinskij Žurnal |
| Subjects: | |
| Online Access: | http://zmj.zsmu.edu.ua/article/view/141721/141113 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849694705000906752 |
|---|---|
| author | H. I. Okhrimenko M. H. Holovko V. A. Hrushka Ye. I. Haidarzhi O. O. Pоdluzhnyi |
| author_facet | H. I. Okhrimenko M. H. Holovko V. A. Hrushka Ye. I. Haidarzhi O. O. Pоdluzhnyi |
| author_sort | H. I. Okhrimenko |
| collection | DOAJ |
| description | The aim of research: to study the short-term treatment results in patients with blood diseases, portal hypertension, pathology of the spleen who underwent laparoscopic splenectomy based on the surgical indications in comparison with the treatment results in the patients who underwent open surgery.
Materials and methods. The results of treatment for 50 patients with blood diseases, portal hypertension and pathology of the spleen were analyzed. The main group consisted of 15 patients who underwent laparoscopic splenectomy. The control group comprised 35 patients who underwent open surgery.
Results. The spleen sizes detected on CT in the control group patients were significantly larger in comparison with the spleen sizes in the main group patients. Profuse bleeding as an intraoperative complication was observed in 2 (13.33 %) patients of the main group that was the reason for a conversion. There were no postoperative complications and fatal cases in contrast to the control group.
Conclusions. It has been established that laparoscopic splenectomy should be performed for moderate splenomegaly up to20 cm. To prevent a profuse bleeding during this operation the meticulous hemostasis is needed indefinitely. |
| format | Article |
| id | doaj-art-a39eb93e6e184587a4d38e5d99f9d19e |
| institution | DOAJ |
| issn | 2306-4145 2310-1210 |
| language | English |
| publishDate | 2018-10-01 |
| publisher | Zaporizhzhia State Medical and Pharmaceutical University |
| record_format | Article |
| series | Zaporožskij Medicinskij Žurnal |
| spelling | doaj-art-a39eb93e6e184587a4d38e5d99f9d19e2025-08-20T03:19:59ZengZaporizhzhia State Medical and Pharmaceutical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102018-10-01566466710.14739/2310-1210.2018.5.141721Comparative evaluation of laparoscopic splenectomy versus open splenectomyH. I. OkhrimenkoM. H. HolovkoV. A. HrushkaYe. I. HaidarzhiO. O. PоdluzhnyiThe aim of research: to study the short-term treatment results in patients with blood diseases, portal hypertension, pathology of the spleen who underwent laparoscopic splenectomy based on the surgical indications in comparison with the treatment results in the patients who underwent open surgery. Materials and methods. The results of treatment for 50 patients with blood diseases, portal hypertension and pathology of the spleen were analyzed. The main group consisted of 15 patients who underwent laparoscopic splenectomy. The control group comprised 35 patients who underwent open surgery. Results. The spleen sizes detected on CT in the control group patients were significantly larger in comparison with the spleen sizes in the main group patients. Profuse bleeding as an intraoperative complication was observed in 2 (13.33 %) patients of the main group that was the reason for a conversion. There were no postoperative complications and fatal cases in contrast to the control group. Conclusions. It has been established that laparoscopic splenectomy should be performed for moderate splenomegaly up to20 cm. To prevent a profuse bleeding during this operation the meticulous hemostasis is needed indefinitely.http://zmj.zsmu.edu.ua/article/view/141721/141113hematologichypertension portalsplenomegalyhypersplenismlaparoscopysplenectomy |
| spellingShingle | H. I. Okhrimenko M. H. Holovko V. A. Hrushka Ye. I. Haidarzhi O. O. Pоdluzhnyi Comparative evaluation of laparoscopic splenectomy versus open splenectomy Zaporožskij Medicinskij Žurnal hematologic hypertension portal splenomegaly hypersplenism laparoscopy splenectomy |
| title | Comparative evaluation of laparoscopic splenectomy versus open splenectomy |
| title_full | Comparative evaluation of laparoscopic splenectomy versus open splenectomy |
| title_fullStr | Comparative evaluation of laparoscopic splenectomy versus open splenectomy |
| title_full_unstemmed | Comparative evaluation of laparoscopic splenectomy versus open splenectomy |
| title_short | Comparative evaluation of laparoscopic splenectomy versus open splenectomy |
| title_sort | comparative evaluation of laparoscopic splenectomy versus open splenectomy |
| topic | hematologic hypertension portal splenomegaly hypersplenism laparoscopy splenectomy |
| url | http://zmj.zsmu.edu.ua/article/view/141721/141113 |
| work_keys_str_mv | AT hiokhrimenko comparativeevaluationoflaparoscopicsplenectomyversusopensplenectomy AT mhholovko comparativeevaluationoflaparoscopicsplenectomyversusopensplenectomy AT vahrushka comparativeevaluationoflaparoscopicsplenectomyversusopensplenectomy AT yeihaidarzhi comparativeevaluationoflaparoscopicsplenectomyversusopensplenectomy AT oopodluzhnyi comparativeevaluationoflaparoscopicsplenectomyversusopensplenectomy |