Laparoscopic splenectomy and infection

Abstract

Hasan Ucmak, Sevgi Buyukbese Sarsu, Mehmet Akif Buyukbese, Seyyit Kus Partial laparoscopic splenectomy is performed commonly in hereditary spherocytosis. Vaccination against capsulated bacteria is essential before undergoing splenectomy. Hand-assisted laparoscopic splenectomy is known to be effective and convenient in the removal of a spleen larger than 20 cm in size. Laparoscopic splenectomy provides less hemorrhage, reduced surgical trauma and pain, shorter duration of hospital stay, and early recovery. Laparoscopic approach was particularly effective in reducing the infectious complication rate compared with the open surgery. Infectious complications of splenectomy were observed to be wound infection, subphrenic abscess, and sometimes pulmonary infection.

Keywords

• Laparoscopy, splenectomy, infection

Laparoscopic splenectomy and infection

Öz

Kısmi laparoskopik splenektomi kalıtsal sferositozda yaygın olarak uygulanmaktadır. Splenektomi yapılanlarda kapsüllü bakterilere karşı aşılama gereklidir. El-yardımlı laparoskopik splenektominin boyutu 20 cm’den daha büyük bir dalağın çıkarılmasında etkili ve uygun olduğu bilinmektedir. Laparoskopik splenektomi daha az kanamaya, cerrahi travma ve ağrıda azalmaya, hastanede kalış süresinde kısalmaya ve erken iyileşmeye neden olur. Açık cerrahi ile karşılaştırıldığında laparoskopik yaklaşım enfeksiyöz komplikasyon oranının azaltılmasında özellikle etkilidir. Splenektominin enfeksiyöz komplikasyonları olarak yara enfeksiyonu, subfrenik apse ve bazen akciğer enfeksiyonları görülmektedir

Anahtar Kelimeler

• Laparoskopi, splenektomi, enfeksiyon

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