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Published in:

01-07-2006

Hand-assisted Laparoscopic Surgery with a Pfannenstiel Incision in β-Thalassemia Patients: Initial Experience

Authors: Emmanuel Leandros, MD, Nicholas Alexakis, MD, Konstadinos Albanopoulos, MD, Dimitris Dardamanis, MD, Markisia Karagiorga, MD, Ilias Gomatos, MD, Stefanos Papadopoulos, MD, Christos Bacoyiannis, MD, John Bramis, MD

Published in: World Journal of Surgery | Issue 7/2006

Abstract

Introduction

β-Thalassemia patients have splenomegaly significant enough to require splenectomy; furthermore, these patients also often require concurrent procedures.

Methods

Between January and October 2005, seven patients with β-thalassemia underwent hand-assisted laparoscopic splenectomy with cholecystectomy, appendectomy, and liver biopsy with the hand-port device introduced through a Pfannenstiel incision.

Results

The median age of the patients was 28 years, and the median spleen length was 23 cm. The median operating time was 210 minutes; there were no conversions to an open procedure; and the median spleen weight was 1072 g. One major postoperative complication occurred. The median hospital stay was 6 days.

Conclusions

The proposed hand-assisted laparoscopic approach is safe and feasible. It provides a minimally invasive alternative that may become the treatment of choice in β-thalassemia patients who require concurrent operations.

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Title: Hand-assisted Laparoscopic Surgery with a Pfannenstiel Incision in β-Thalassemia Patients: Initial Experience
Authors: Emmanuel Leandros, MD
Nicholas Alexakis, MD
Konstadinos Albanopoulos, MD
Dimitris Dardamanis, MD
Markisia Karagiorga, MD
Ilias Gomatos, MD
Stefanos Papadopoulos, MD
Christos Bacoyiannis, MD
John Bramis, MD
Publication date: 01-07-2006
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 7/2006
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-005-0542-7

At a glance: The STEP trials

Springer Medicine

Hand-assisted Laparoscopic Surgery with a Pfannenstiel Incision in β-Thalassemia Patients: Initial Experience

Abstract

Introduction

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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