Abstract
Result: Fifty-one children had laparoscopic assisted splenectomy for either hypersplenism 42 (82.4%) or acute splenic sequestration 9 (17.6 %); 32 (63%) males and 19 (37%) females. The age range was 6 to 14 years, a mean age of 9.8. Only one (1.9%) case required conversion to open procedure due to excessive bleeding. Only 7 (13.7%) were admitted in the ICU following the procedure. The mean length of hospital stay was four days; the measured decrease in the HBS was 38%, preoperative fever was seen in 16 (31%), and there was no mortality. Conclusion: Laparoscopic splenectomy with a left inguinal incision is a safe and effective approach in children with SCD.
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