Laparoscopic vs Open Splenectomy

摘要: Hypothesis Laparoscopic splenectomy (LS) provides health benefits to patients compared with open (OS) in terms of perioperative morbidity, complications, and patient recuperation. Design Prospective operative outcome data LS were those OS (historical controls). Setting Data gathered, evaluated treated at 2 McMaster University teaching hospitals Hamilton, Ontario, the Kentucky Chandler Medical Center, Lexington, also a hospital. Patients From January 1, 1994, through October 31, 1998, total 210 studied. Of them, 147 from 3 university underwent LS. These matched 63 according age, sex, spleen weight, indication for splenectomy, preoperative morbidity score. Interventions A elective Main Outcome Measures Spleen time, intraoperative blood loss, postoperative hospital stay, cost. Results No significant difference mean weight was found between groups. Mean time significantly longer LS, but loss lower. stay lower complications fewer patients. cost no slightly than OS. Conclusions Compared OS, lateral approach takes perform results reduced shorter complications. weighted is study institutions. prospective, randomized, controlled trial comparing these techniques planned.