Challenges and Results of Laparoscopic Splenectomy for Hematological Diseases in a Developing Country
Joint Authors
Shakya, Vikal Chandra
Byanjankar, Bikram
Pangeni, Anang
Shrestha, Anir Ram Moh
Pandit, Rabin
Poudyal, Bishesh
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-08-01
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1204557