Safety and efficacy of laparoscopic splenectomy in hematologic diseases with massive splenomegaly

摘要: Splenomegaly and massive splenomegaly are common clinical findings in hematological diseases especially inherited hemoglobin disorders (sickle cell disease thalassemia) hematologic malignancies. Laparoscopic splenectomy (LS) is the gold standard management of most splenic pathologies which medical therapy fails to control symptoms or complications. However, could be a challenging task for laparoscopic removal. In this study, authors explored feasibility LS patients with using totally approach. This prospective case series 18 (4–27 years old) who were operated from January 2014 till April 2016 because sickle disease, thalassemia, both secondary-level hospital, Qatif, Eastern Province, KSA. A total eight had hypersplenism, 10 very big spleens abdominal pain pressure symptoms. Male : female ratio was 3 1. The operative time significantly prolonged splenomegaly, mainly extraction time. One converted open intraoperative bleeding. maximum spleen size 23 cm longitudinal axis. Median hospital stay 2.5 day. There no overwhelming postsplenectomy sepsis. mortalities. Although associated increased rates conversion, feasible safe experienced hands.