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Year : 2015  |  Volume : 11  |  Issue : 3  |  Page : 172-176

Comparison of single port and three port laparoscopic splenectomy in patients with immune thrombocytopenic purpura: Clinical comparative study

1 Department of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
2 Department of General Surgery, Faculty of Medicine, Yeditepe University, Istanbul, Turkey

Correspondence Address:
Orhan Agcaoglu
Etiler Mah. Nispetiye Cad. Sehit Ahmet Acarkan sk. No: 2 Besiktas, Istanbul, 34337
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-9941.159853

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Aim: Single-port laparoscopic surgery (SILS) has become increasingly popular during the last decades. This prospective study was undertaken to evaluate the feasibility of single-port laparoscopic splenectomy compared with conventional multiport laparoscopic splenectomy. Materials and Methods: Between February 2, 2009 and August 29, 2011, a total of 40 patients with the diagnosis of immune thrombocytopenic purpura were included to study. Patients were alienated into two groups according to the procedure type including SILS and conventional multiport splenectomy. Results: There were 19 patients in group 1, and 21 in group 2. Operative time was significantly shorter in group 1 versus group 2 (112.4 ± 13.56 vs 71.2 ±18.1 minutes, respectively, P < 0.05). One patient in group 1 had converted to laparatomy due to preoperative bleeding. Postoperative pain analyses (VAS Score) revealed superiority of SILS in the early post-operative days (P < 0.05). Conclusions: SILS splenectomy is a safe and effective alternative to standard laparoscopic splenectomy.


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