Τίτλος:
Hand-assisted laparoscopic surgery with a Pfannenstiel incision in
beta-thalassemia patients: Initial experience
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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.
Συγγραφείς:
Leandros, Emmanuel
Alexakis, Nicholas
Albanopoulos, Konstadinos
and Dardamanis, Dimitris
Karagiorga, Markisia
Gomatos, Ilias and
Papadopoulos, Stefanos
Bacoyiannis, Christos
Bramis, John
Περιοδικό:
World Journal of Surgery
DOI:
10.1007/s00268-005-0542-7
