Challenges and Results of Laparoscopic Splenectomy for Hematological Diseases in a Developing Country
المؤلفون المشاركون
Shakya, Vikal Chandra
Byanjankar, Bikram
Pangeni, Anang
Shrestha, Anir Ram Moh
Pandit, Rabin
Poudyal, Bishesh
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-08-01
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Introduction.
Though, in developed countries, laparoscopy is now a gold standard for splenectomy, we are lacking in this aspect in the eastern world.
Splenectomy has mostly been performed by open surgery in our region.
This is our effort to introduce laparoscopic splenectomy in our country.
Methods.
This is a retrospective cohort study done in patients presenting to hematology and surgery department of our hospital who underwent laparoscopic splenectomy for hematological diseases from January 2013 to December 2016.
Results.
There were 50 patients (38 females, 12 males).
The diagnoses were idiopathic thrombocytopenic purpura in 31, (steroid/azathioprine-resistant, steroid dependent), hereditary spherocytosis in 9, alpha-thalassemia in 3, beta-thalassemia in 2, autoimmune hemolytic anemia in 4, and isolated splenic tuberculosis in 1.
Average platelet counts preoperatively were 62000±11000/mm3 (range 52000-325000/mm3).
The mean operative time was 130±49 minutes (range 108-224 min).
The mean postoperative stay was 4±2.11 days (range 3-9 days).
Laparoscopic splenectomy could be completed in 45 (90%) patients.
Conclusion.
Laparoscopic splenectomy could be successfully contemplated in patients with hematological diseases, especially if spleen is normal or only mildly enlarged, and is an advantageous alternative to open splenectomy.
Absence of ideal resources has not limited our progress in minimal access approach.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Shakya, Vikal Chandra& Byanjankar, Bikram& Pandit, Rabin& Pangeni, Anang& Shrestha, Anir Ram Moh& Poudyal, Bishesh. 2018. Challenges and Results of Laparoscopic Splenectomy for Hematological Diseases in a Developing Country. Minimally Invasive Surgery،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1204557
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Shakya, Vikal Chandra…[et al.]. Challenges and Results of Laparoscopic Splenectomy for Hematological Diseases in a Developing Country. Minimally Invasive Surgery No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1204557
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Shakya, Vikal Chandra& Byanjankar, Bikram& Pandit, Rabin& Pangeni, Anang& Shrestha, Anir Ram Moh& Poudyal, Bishesh. Challenges and Results of Laparoscopic Splenectomy for Hematological Diseases in a Developing Country. Minimally Invasive Surgery. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1204557
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1204557
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر