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- W3032855256 abstract "Objective compare laparoscopic splenectomy with open splenectomy for the treatment of splenomegaly in children.Methods Splenomegaly was defined when splenic margin was below the umbilicus or extended over the midline.According to this critcria,46 patients who underwent splcnectomy for massive splenomegaly at this center between April 1997 and Oct 2011 were enrolled in this study.Of the patients,25 underwent laparoscopic splenectomy,and the other 21 were performed open splenectomy.Clinical data including operative time,bleeding.spleen size,complications and the length of hospital stay was retrospectively analyzed.Results()ne patient was converted to open surgery due to uncontrollable bleeding more than 200 ml during laparoscopic splenectomy.The other 25 cases were performed laparoscopic splenectomy successfully.No death,wound infection,and pancreatitis was noted.No significant difference of operation time was found between laparoscopic splenectomy and open splenectomy (69.0± 34.5 min vs 66.0 ± 41.3 min,P>0.05).However,spleen dissection time in laparoscopic splenectomy was shorter compared with that in open surgery (48.5 -± 24.5 min vs 57.8 ± 29.1 min,P 0.05).The length of hospital stay of the patients with laparoscopic splenectomy was shorter (3.6 ± 2.0 days vs 5.8 ± 2.7 days,P<0.01 ).No accessory spleen were missed in laparoscopic splenectomy,while accessory spleens were missed in 2 patients with open splenectomy.The postoperative complication rate of the patients with laparoscopic surgery and open surgery was 12.0％ and 33.3％ respectively.Conclusions Laparoscopic splenectomy for massive is a safe and effective procedure for the treatment of splenomegaly in children.Key words: Laparoscopic surgery operation; Splenectomy" @default.
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- W3032855256 date "2012-07-15" @default.
- W3032855256 modified "2023-10-15" @default.
- W3032855256 title "Laparoscopic versus open splenectomy for the treatment of massive splenomegaly in children" @default.
- W3032855256 doi "https://doi.org/10.3760/cma.j.issn.0253-3006.2012.07.002" @default.
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