Laparoscopic splenectomy in children.

Faisal G. Qureshi, Orkan Ergun, Vlad C. Sandulache, Evan P. Nadler, Henri Ford, David J. Hackam, Timothy D. Kane

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

BACKGROUND: Laparoscopic splenectomy is being performed more commonly in children, although its advantages are not clear. We sought to determine whether laparoscopic splenectomy was superior to open splenectomy. METHODS: The records of all pediatric patients undergoing splenectomy without significant comorbidities over a 12-year period were examined. The patients were divided into those undergoing laparoscopic splenectomy and those undergoing open splenectomy. Demographics, operative time, estimated blood loss, spleen size, length of stay, and total charges were compared between the groups. RESULTS: Eighty-one (58%) children underwent laparoscopic splenectomy, and 59 (42%) children underwent open splenectomy. The groups were similar in age and sex; hereditary spherocytosis was more common in the LS group. Operating time was longer in the laparoscopic splenectomy group (231 +/- 10 min vs 138 +/- 9 min; P<0.001), but blood loss and complication rates were similar. Twelve (15%) conversions were necessary primarily due to spleen size. Although children undergoing LS had a shorter length of stay (2.4 +/- 0.1 vs 4.1 +/- 0.3 days; P<0.001), they incurred higher charges (dollars 21199 +/- 664 vs dollars 15723 +/- 1737; P<0.002). CONCLUSION: Laparoscopic splenectomy is a safe procedure in children, resulting in shorter hospital stay, which may translate into earlier return to activity and a smaller burden on the child's caretakers.

Original languageEnglish (US)
Pages (from-to)389-392
Number of pages4
JournalJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
Volume9
Issue number4
StatePublished - Jan 1 2005
Externally publishedYes

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Splenectomy
Length of Stay
Spleen
Hereditary Spherocytosis
Operative Time
Comorbidity
Demography
Pediatrics

ASJC Scopus subject areas

  • Surgery

Cite this

Qureshi, F. G., Ergun, O., Sandulache, V. C., Nadler, E. P., Ford, H., Hackam, D. J., & Kane, T. D. (2005). Laparoscopic splenectomy in children. JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons, 9(4), 389-392.

Laparoscopic splenectomy in children. / Qureshi, Faisal G.; Ergun, Orkan; Sandulache, Vlad C.; Nadler, Evan P.; Ford, Henri; Hackam, David J.; Kane, Timothy D.

In: JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons, Vol. 9, No. 4, 01.01.2005, p. 389-392.

Research output: Contribution to journalArticle

Qureshi, FG, Ergun, O, Sandulache, VC, Nadler, EP, Ford, H, Hackam, DJ & Kane, TD 2005, 'Laparoscopic splenectomy in children.', JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons, vol. 9, no. 4, pp. 389-392.
Qureshi, Faisal G. ; Ergun, Orkan ; Sandulache, Vlad C. ; Nadler, Evan P. ; Ford, Henri ; Hackam, David J. ; Kane, Timothy D. / Laparoscopic splenectomy in children. In: JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons. 2005 ; Vol. 9, No. 4. pp. 389-392.
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