Abstract
ABSTRACT Splenectomy is useful in children with hematologic disorders including hereditary spherocytosis, immune thrombocytopenic purpura, and sickle cell disease. Laparoscopic splenectomy in children has developed into a safe and effective procedure, resulting in shorter length of hospital stay, less postoperative discomfort, and improved cosmesis. The operating times are generally longer for a laparoscopic splenectomy than for open splenectomy, and the occurrence of an intraoperative splenic capsular disruption or a missed accessory spleen can lead to reoccurrence of the primary process. This article details the technique of laparoscopic splenectomy and summarizes the results in 75 infants, children, and adolescents who underwent laparoscopic splenectomy for hematologic disorders at a single institution.
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