engleski

Challenges in laparoscopic splenectomy in patients with splenomegaly

The data were collected from May 2003 till March 2010. in 33 patients that underwent LS in Clinical Hospital ''Dubrava''. Majority of pts that underwent LS had benign haematologic disease , and more than half of them had splenomegaly. Majority of pts with splenic malignancy had splenomegaly. Splenomegaly was associated with higher conversion rate due to bleeding and longer MOT. In splenomegaly, more patients required accesory incision for spleen removal and blood transfusion. LS is a prefered treatment for majority of pts with splenomegaly. It seems that even large spleens do not present containdication in spite of longer operative time and blood loss.

laparoscopic splenectomy ; splenomegaly

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