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Published in:

01-01-2010

Prospective randomized comparison of clinical results between hand-assisted laparoscopic and open splenectomies

Authors: Umut Barbaros, Ahmet Dinççağ, Aziz Sümer, Rosario Vecchio, Domenico Rusello, Valentina Randazzo, Halim Issever, Cavit Avci

Published in: Surgical Endoscopy | Issue 1/2010

Abstract

Background

Although some studies have compared laparoscopic and hand-assisted laparoscopic splenectomy (HALS) in splenomegaly cases, no study has analyzed the differences between HALS and open splenectomy (OS). This study aimed to compare the HALS and OS techniques in splenomegaly cases.

Methods

This prospective study included 27 patients undergoing splenectomy for splenic disorders at the Department of General Surgery, Istanbul Medical Faculty between February and October 2007. Open splenectomy was performed for 14 patients and HALS for the remaining 13 patients.

Results

The end points compared included incision length, operative time, intraoperative blood loss, postoperative drain output and duration, postoperative pain scores, length of postoperative hospitalization, and perioperative complications. The authors found benefits of HALS over OS for incision length, postoperative pain score, postoperative drain output and duration, and hospital stay. The main advantages of the HALS technique over OS were less postoperative pain (p = 0.0002), shorter hospital stay (p = 0.004), and shorter abdominal incision (p = 0.012).

Conclusions

For splenomegaly, HALS significantly facilitates the surgical procedure and reduces the hospital stay while maintaining the advantages of OS such as tactile sense as well as easy and atraumatic manipulation of enlarged spleens.

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Title: Prospective randomized comparison of clinical results between hand-assisted laparoscopic and open splenectomies
Authors: Umut Barbaros
Ahmet Dinççağ
Aziz Sümer
Rosario Vecchio
Domenico Rusello
Valentina Randazzo
Halim Issever
Cavit Avci
Publication date: 01-01-2010
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 1/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-009-0528-x

At a glance: The STEP trials

Springer Medicine

Prospective randomized comparison of clinical results between hand-assisted laparoscopic and open splenectomies

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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