TY - JOUR
TI - Hand-assisted laparoscopic surgery with a Pfannenstiel incision in
beta-thalassemia patients: Initial experience
AU - Leandros, Emmanuel
AU - Alexakis, Nicholas
AU - Albanopoulos, Konstadinos
AU - and Dardamanis, Dimitris
AU - Karagiorga, Markisia
AU - Gomatos, Ilias and
AU - Papadopoulos, Stefanos
AU - Bacoyiannis, Christos
AU - Bramis, John
JO - World Journal of Surgery
PY - 2006
VL - 30
TODO - 7
SP - 1216-1220
PB - Springer-Verlag
SN - 0364-2313, 1432-2323
TODO - 10.1007/s00268-005-0542-7
TODO - null
TODO - Introduction: beta-Thalassemia patients have splenomegaly significant
enough to require splenectomy; furthermore, these patients also often
require concurrent procedures.
Methods: Between January and October 2005, seven patients with
beta-thalassemia underwent hand-assisted laparoscopic splenectomy with
cholecystectomy, appendectomy, and liver biopsy with the hand-port
device introduced through a Pfannenstiel incision.
Results: The median age of the patients was 28 years, and the median
spleen length was 23 cm. The median operating time was 210 minutes;
there were no conversions to an open procedure; and the median spleen
weight was 1072 g. One major postoperative complication occurred. The
median hospital stay was 6 days.
Conclusions: The proposed hand-assisted laparoscopic approach is safe
and feasible. It provides a minimally invasive alternative that may
become the treatment of choice in beta-thalassemia patients who require
concurrent operations.
ER -