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- W2358632353 abstract "Objective To evaluate the safety and efficacy of laparoscopic splenectomy for massive and supramassive splenomegaly. Methods A retrospective review of patients was conducted for splenectomy occurring from Jan 1995 to Sep 2011. Massive and supramassive spleens were defined as craniocaudad length ≥ 17 cm or weight ≥ 600 g and craniocaudad length ≥ 22 cm or weight ≥ 1600 g,respectively. Results Laparoscopic splenectomy was done for 22 and open splenectomy for 21 patients, of which 12 and 14 were supramassive. Comparing with open splenectomy, laparoscopic splenectomy for supramassive spleens was associated with lower blood loss( 308 ml vs 400 ml,P = 0.24 ), shorter length of postoperative stay ( 3 d vs 4.5 d,P = 0.054 ), and similar morbidity ( 17 % vs 14 % ). But operative times were longer for laparoscopic splenectomy ( 195 min vs 105 min,P = 0.008 ), while the conversion rate was 25 % . Two reoperations and 1 death occurred with all open splenectomy. Conclusions In cases of massive and supramassive splenomegaly, better outcomes are accomplished with laparoscopic splenectomy than open splenectomy, and are comparable to hand-assisted laparoscopic splenectomy." @default.
- W2358632353 created "2016-06-24" @default.
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- W2358632353 date "2012-01-01" @default.
- W2358632353 modified "2023-09-27" @default.
- W2358632353 title "A search of efficacy with laparoscopic splenectomy for massive and supramassive spleens" @default.
- W2358632353 hasPublicationYear "2012" @default.
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