Our clinical experience on laparoscopic splenectomy: Outcomes of 38 patients

Zübeyir Bozdağ; Ahmet Türkoğlu; Bekir Taşdemir; Abdullah Oğuz; Sinan Dal; Abdullah Karakuş; Hıdır Budak; Metehan Gümüş

doi:10.5798/diclemedj.0921.2015.04.0612

Our clinical experience on laparoscopic splenectomy: Outcomes of 38 patients

Abstract

Objective: Laparoscopic splenectomy has gained widespread acceptance in the treatment of hematological diseases in recent years. In this study, we aimed to present the outcomes of the patients who underwent laparoscopic splenectomy.

Methods: Between 2012 and 2015, the data of 38 patients, who underwent laparoscopic splenectomy for hematological diseases at our clinic, were evaluated retrospectively.

Results: 15 males and 23 females patients were underwent laparoscopic splenectomy, and the average age was 33.9 ± 12.9 years. Indications for splenectomy were idiopathic thrombocytopenic purpura (ITP) in 34 patients, and hereditary spherocytosis in 4 patients. During the surgical exploration, accessory spleen was detected in 7 patients, and removed. Laparoscopic cholecystectomy was performed at the same session in 2 hereditary spherocytosis patients who had stones in the gallbladder. One patient was converted to the open surgery due to the bleeding which was eliminated the exposure during the dissection. At the postoperative period, we observed atelectasis in one patient, and wound fat necrosis in one patient. In addition, thrombocytosis was observed in one patient. Hematological treatment was continued because of persistent refractory thrombocytopenia in two patients, and temporary thrombocytopenia in four patients. An accessory spleen was detected with splenic scintigraphy in one of these patients at the postoperative period. The average hospitalization time was 2.6 ± 0.7 days.

Conclusion: Laparoscopic splenectomy for hematological diseases may be considered as first-line therapy with less hospital stay and morbidity.

Key words: Laparoscopic splenectomy, hematologic disease, outcome

Keywords

Laparoskopik splenektomi, hematolojik hastalıklar, sonuçlar

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Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Zübeyir Bozdağ

Ahmet Türkoğlu This is me

Bekir Taşdemir This is me

Abdullah Oğuz This is me

Sinan Dal This is me

Abdullah Karakuş This is me

Hıdır Budak This is me

Metehan Gümüş This is me

Publication Date

January 8, 2016

Submission Date

January 8, 2016

Acceptance Date

-

Published in Issue

Year 2015 Volume: 42 Number: 4

DOI

https://doi.org/10.5798/diclemedj.0921.2015.04.0612

IZ

https://izlik.org/JA62WT83BK

Cite

RIS / Bibtex

APA

Bozdağ, Z., Türkoğlu, A., Taşdemir, B., Oğuz, A., Dal, S., Karakuş, A., Budak, H., & Gümüş, M. (2016). Our clinical experience on laparoscopic splenectomy: Outcomes of 38 patients. Dicle Medical Journal, 42(4), 480-484. https://doi.org/10.5798/diclemedj.0921.2015.04.0612

AMA

1.Bozdağ Z, Türkoğlu A, Taşdemir B, et al. Our clinical experience on laparoscopic splenectomy: Outcomes of 38 patients. Dicle Medical Journal. 2016;42(4):480-484. doi:10.5798/diclemedj.0921.2015.04.0612

Chicago

Bozdağ, Zübeyir, Ahmet Türkoğlu, Bekir Taşdemir, et al. 2016. “Our Clinical Experience on Laparoscopic Splenectomy: Outcomes of 38 Patients”. Dicle Medical Journal 42 (4): 480-84. https://doi.org/10.5798/diclemedj.0921.2015.04.0612.

EndNote

Bozdağ Z, Türkoğlu A, Taşdemir B, Oğuz A, Dal S, Karakuş A, Budak H, Gümüş M (January 1, 2016) Our clinical experience on laparoscopic splenectomy: Outcomes of 38 patients. Dicle Medical Journal 42 4 480–484.

IEEE

[1]Z. Bozdağ et al., “Our clinical experience on laparoscopic splenectomy: Outcomes of 38 patients”, Dicle Medical Journal, vol. 42, no. 4, pp. 480–484, Jan. 2016, doi: 10.5798/diclemedj.0921.2015.04.0612.

ISNAD

Bozdağ, Zübeyir - Türkoğlu, Ahmet - Taşdemir, Bekir - Oğuz, Abdullah - Dal, Sinan - Karakuş, Abdullah - Budak, Hıdır - Gümüş, Metehan. “Our Clinical Experience on Laparoscopic Splenectomy: Outcomes of 38 Patients”. Dicle Medical Journal 42/4 (January 1, 2016): 480-484. https://doi.org/10.5798/diclemedj.0921.2015.04.0612.

JAMA

1.Bozdağ Z, Türkoğlu A, Taşdemir B, Oğuz A, Dal S, Karakuş A, Budak H, Gümüş M. Our clinical experience on laparoscopic splenectomy: Outcomes of 38 patients. Dicle Medical Journal. 2016;42:480–484.

MLA

Bozdağ, Zübeyir, et al. “Our Clinical Experience on Laparoscopic Splenectomy: Outcomes of 38 Patients”. Dicle Medical Journal, vol. 42, no. 4, Jan. 2016, pp. 480-4, doi:10.5798/diclemedj.0921.2015.04.0612.

Vancouver

1.Zübeyir Bozdağ, Ahmet Türkoğlu, Bekir Taşdemir, Abdullah Oğuz, Sinan Dal, Abdullah Karakuş, Hıdır Budak, Metehan Gümüş. Our clinical experience on laparoscopic splenectomy: Outcomes of 38 patients. Dicle Medical Journal. 2016 Jan. 1;42(4):480-4. doi:10.5798/diclemedj.0921.2015.04.0612