Pediatric laparoscopic splenectomy

A. Park, B. T. Heniford, A. Hebra, P. Fitzgerald

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Lateral laparoscopic splenectomy in adults, first reported in 1991, was begun with children in 1993. Methods: The authors reviewed records of 59 patients 2 to 17 years old who underwent laparoscopic splenectomy by the lateral approach between 1994 and 1998 at four medical centers. Patients received prophylactic penicillin or vaccinations preoperatively. Results: Of the 59 patients, 51 required splenectomy for one of the following conditions: idiopathic thrombocytopenic purpura, hereditary spherocytosis, or sickle-cell disease. Splenomegaly was found in 86% of the patients, and ten accessory spleens were resected. No deaths or infection occurred, and only three patients had perioperative complications: acute chest crisis, small diaphragmatic injury, and intraoperative hemorrhage. One operation was converted to a minilaparatomy because of difficulty with specimen extraction. Conclusions: Pediatric laparoscopic splenectomy is safe and effective, resulting in little blood loss, rapid recovery, and a good cosmetic outcome.

Original languageEnglish (US)
Pages (from-to)527-531
Number of pages5
JournalSurgical endoscopy
Volume14
Issue number6
DOIs
StatePublished - Jun 1 2000
Externally publishedYes

Keywords

  • Laparoscopy
  • Pediatric
  • Purpura
  • Sickle-cell disease
  • Spherocytosis
  • Splenectomy

ASJC Scopus subject areas

  • Surgery

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