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Improved outcome in laparoscopic splenectomy in children with benign hematological disease after standardization of techniques

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Abstract

Background

Laparoscopic splenectomy has gained popularity in the management of children with benign hematological disease who required splenectomy. We aim to report the outcome after standardization of techniques in laparoscopic splenectomy.

Materials and methods

A retrospective study was conducted in which all children with benign hematological disease underwent laparoscopic splenectomy in our institute from 2003 to 2017. The demographics and outcomes before (Group 1) and after (Group 2) standardization of techniques were compared. The laparoscopic techniques were standardized in Group 2. They all underwent multiport laparoscopic splenectomy and the splenic pedicles were divided by bipolar sealing device (LigaSure). In Group 1, splenectomy could be performed by single port or multiple ports approach. The splenic pedicles could be divided by endovascular stapler or LigaSure.

Results

Group 1 included 14 children who underwent splenectomy from 2003 to 2010 and Group 2 included 9 children who were operated from 2011 to 2017. The demographics were comparable between the two groups. Group 2 was associated with lower complication (0 vs. 5, p = 0.043), shorter operative time in splenectomy (146 min vs. 173 min, p = 0.056) and shorter mean hospital stay (3.8 days vs. 7.1 days, p < 0.0001).

Conclusions

Superior outcomes including lower complication rates and shorter hospital stay were observed after standardization of surgical techniques in laparoscopic splenectomy in children using multiple ports and LigaSure.

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Authors and Affiliations

  1. Division of Paediatric Surgery and Paediatric Urology, Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, SAR, China

    Kin Wai Edwin Chan, Kim Hung Lee & Hei Yi Vicky Wong

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  1. Kin Wai Edwin Chan
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  2. Kim Hung Lee
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  3. Hei Yi Vicky Wong
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Correspondence to Kin Wai Edwin Chan.

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The authors declare that they have no competing interest.

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Chan, K.W.E., Lee, K.H. & Wong, H.Y.V. Improved outcome in laparoscopic splenectomy in children with benign hematological disease after standardization of techniques. J Ped Endosc Surg 1, 65–69 (2019). https://doi.org/10.1007/s42804-019-00016-x

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  • DOI: https://doi.org/10.1007/s42804-019-00016-x

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