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 ORIGINAL ARTICLE
Year : 2015  |  Volume : 11  |  Issue : 2  |  Page : 143-148

Comparison of two minimal invasive techniques of splenectomy: Standard laparoscopy versus transumbilical multiport single-site laparoscopy with conventional instruments


1 Department of General Surgery, Istanbul Medeniyet University Goztepe Training and Research Hospital, Kadikoy, Turkey
2 Department of General Surgery, Acibadem Atakent Hospital, Halkali, Turkey
3 Department of Haematology, Maltepe University, Maltepe, Turkey
4 Department of Haematology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Kadikoy, Istanbul, Turkey

Correspondence Address:
Baris Bayraktar
Istanbul Medeniyet University Goztepe Training and Research Hospital, General Surgery, Kadiköy
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.137756

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Background: Laparoendoscopic single-site (LESS) splenectomy which is performed on small number of patients, has been introduced with better cosmetic outcome, less postoperative pain, greater patient satisfaction and faster recovery compared to standard laparoscopy. Materials and Methods : Thirty six patients were included in the study comparing standard laparoscopic splenectomy (LS, 17 patients) transumbilical multiport splenectomy performed with conventional laparoscopic instruments (TUMP-LS, 19 patients). Two groups of patients were compared retrospectively by means of operation time, intra- and postoperative blood loss, perioperative complications, packed red cell and platelet requirements, lenght of hospitalization, pain scores and patient satisfaction. Results: There was no mortality in any of the groups, and no significant differences determined in operative time (P = 0,069), intraoperative blood loss (P = 0,641), patient satisfaction (P = 0,506), pain scores (P = 0,173) and the average length of hospital stay (P = 0,257). Umbilical incisions healed uneventfully and no hernia formation or wound infection was observed during follow-up period (2-34 months). There were no conversions to open surgery. Conclusions: Transumbilical multiport splenectomy performed with the conventional laparoscopic instruments is feasible and could be a logical alternative to classical laparoscopic splenectomy by combining the advantages of single access techniques and standard laparoscopy.






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