Indications, Surgical Technique and Outcomes of Laparoscopic Splenectomy: A Retrospective Descriptive Study from Srinagar, India
Introduction: Laparoscopic splenectomy has become the preferred approach because it offers several advantages over traditional open surgery, including smaller incisions, decreased postoperative pain, reduced blood loss and shorter hospital stays. For mild to moderately enlarged spleens, it has becom...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/20553/75227_CE[Ra1]_F(SHU)_QC(PS_SS)_PF1(RI_SS)_redo(SL)_PFA(IS)_PN(IS).pdf |
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| Summary: | Introduction: Laparoscopic splenectomy has become the preferred approach because it offers several advantages over traditional open surgery, including smaller incisions, decreased postoperative pain, reduced blood loss and shorter hospital stays. For mild to moderately enlarged spleens, it has become the procedure of choice. Although it can be more challenging for massively enlarged spleens, with proper planning and surgical expertise, the procedure can be performed safely.
Aim: To assess the indications and outcomes of laparoscopic splenectomy across a range of spleen sizes, from normal to massively enlarged spleens, in a tertiary care hospital.
Materials and Methods: A retrospective descriptive study was conducted in the Department of Surgery, Government Medical College, Srinagar, Jammu and Kashmir, India, from May 2018 to May 2023. A total of 41 patients were included in the study. Patients aged 18 to 65 years who had undergone elective laparoscopic splenectomies, with no cutoff for spleen size, were included. The endpoints of the study were to measure perioperative parameters such as operative time, blood loss, postoperative complications, hospital stay and analysis of indications. Continuous variables were expressed as mean±SD and categorical variables were summarised as frequencies and percentages.
Results: The study group consisted of 20 (48.80%) males and 21 (51.20%) females. The mean age was 43.42±11.28 years. The most common indication for splenectomy was Immune Thrombocytopenic Purpura (ITP) (n=15), followed by hereditary spherocytosis (n=7). The mean spleen size of 26 patients was 12±1.62 cm; in seven patients, it was 17±0.76 cm; and in eight patients, it was 23.5±2.29 cm. The largest spleen operated on measured 28 cm in size. One patient required conversion to open surgery due to bleeding.
Conclusion: Laparoscopic splenectomy is a safe method associated with a low risk of perioperative complications. Proper planning and a reproducible operative technique are critical for success in laparoscopic splenectomy, even for massive spleens. |
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| ISSN: | 2249-782X 0973-709X |