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279026

Prospective study of outcomes of Laparoscopic versus open splenectomy in hematological and benign splenic diseases

Article

Last updated: 22 Jan 2023

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Tags

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Abstract

: In the last 20 years, laparoscopic surgery has advanced at a remarkable pace. The standard for the management of hematologic diseases of the spleen is laparoscopic splenectomy (LS). Aim and objectives: The goal of the research was to evaluate laparoscopic and open splenectomy patients in terms of operating time, intraoperative complications, hospitalization length, and duration to return to normal activities. Subjects and methods: Twenty patients with hematological and benign splenic disorders were included in prospective research at Al-Azhar University Hospitals (Al-Hussein and Sayed Galal). They were divided into groups at random by picking every two patients and assigning one to group (A) and the other to group (B), with each group consisting of ten patients. Group (A) undergo laparoscopic splenectomy. Group (B) undergo open splenectomy. Results: There is significant reduction in the hospital stay between both group (P=0.00). Patients in lap group were dismissed from the hospital on the 2nd postoperative day (8cases), but (2cases) were discharged on the 3rd day as they were converted to open surgery with median stay in hospital 1.3 days. Conclusion: LS are efficient in producing the desired therapeutic response in patients with suitable indication for splenectomy. The operative times for Laparoscopic splenectomy are longer than those for OS but they tend to decrease with experience. The intraoperative blood loss and complications of LS are generally better than those reported for OS.

DOI

10.21608/aimj.2023.147614.2020

Keywords

outcomes, Laparoscopic, Open Splenectomy, hematological, splenic diseases

Authors

First Name

Abdullah

Last Name

Abohabib

MiddleName

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Affiliation

Department of general surgery Al-azhar university.

Email

abdalhabuhabib9@gmail.com

City

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Orcid

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First Name

sayed

Last Name

hamdy

MiddleName

-

Affiliation

Department of General surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Email

sayedhamdy1965@yahoo.com

City

-

Orcid

-

First Name

abdelrahman

Last Name

safwat

MiddleName

-

Affiliation

Department of General surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Email

abdosafwat@gmail.com

City

-

Orcid

-

Volume

3

Article Issue

12

Related Issue

38580

Issue Date

2022-12-01

Receive Date

2022-06-27

Publish Date

2022-12-01

Page Start

238

Page End

242

Print ISSN

2682-3381

Online ISSN

2682-339X

Link

https://aimj.journals.ekb.eg/article_279026.html

Detail API

https://aimj.journals.ekb.eg/service?article_code=279026

Order

38

Type

Original Article

Type Code

710

Publication Type

Journal

Publication Title

Al-Azhar International Medical Journal

Publication Link

https://aimj.journals.ekb.eg/

MainTitle

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Details

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Article

Created At

22 Jan 2023