Evaluation of the outcomes of laparoscopic splenectomy in non-traumatic pathological splenic disorders

Abstract

Background: currently,minimal invasive surgical techniques were used for several operations in general surgery. Less intra-operative blood loss,less post-operative pain and shorter hospital stay results are some of the benefits that make laparoscopy the best approach for many surgical procedures.Therefore, laparoscopic splenectomy since 1991 when was first described by Delaitre and Maignien. In general, indications for laparoscopic splenectomy are the same as those of open splenectomy, except for the trauma cases, where the role of laparoscopy is still debatable. The introduction of advanced laparoscopic tools for ligation, dissection and vessels sealing devices resulted in less operative time and less intra-operative complications. However, some contraindications still applied, more studies are needed to determine the real value of laparoscopy in massive splenomegaly. Objectives:The aim of the work is evaluation of the outcomes, safety and efficacy of laparoscopic splenectomy in non-traumatic splenic disorders. Patients and methods: This prospective study conducted on patients with hematological disorders indicated for splenectomy for one year. Results: We operated 20 patients of laparoscopic splenectomy, 70% were females, their mean of age by years were 18.9 ± 9.1. No post-operative complications the mean of operation time byhours was3.2 ± 0.7, while the mean of hospital stay was 2.3 ± 0.2 days. The total intra-operative blood loss was about 50–600 ml. Conclusion: Laparoscopic splenectomy for elective operations of the spleen is a safe method associated with a lower risk of peri-operative complications,less mortality and morbidity.