Laparoscopic resection of massive splenomegaly for hereditary spherocytosis in children: Report of 7 cases
- VernacularTitle:腹腔镜巨脾切除术治疗小儿遗传性球形红细胞增多症(附7例报告)
- Author:
Weili XU
;
Suolin LI
;
Baojun SHI
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Splenectomy;
Massive splen omegaly;
Hereditary spherocytosis
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and t he efficacy of laparoscopic splenectomy of massive splenomegaly in the treatment o f hereditary spherocytosis in children. Methods Seven children with massive splenomegaly underwent laparoscopic splenectomy. Their age ranged 1~14 years (mean, 8.8 years), and their body weight was 10~57 kg (mean, 33.8 kg) . Three children had an accompanying cholelithiasis: 2 of them received a concom itant cholecystectomy and 1 of them, cholecystotomy. Results A ll the operations were successfully performed under laparoscope, and hand-assist ed splenectomy through a small incision was applied in 1 child because of bleedi ng of the splenic vein. The duration of operation was 50~150 min (mean, 90 min), the intraoperative blood loss was 30~500 ml (mean, 117 ml), and the length of h ospitalization, 4~10 d (mean, 5.5 d). The red blood cell counts had significantl y increased 3 days following the operation (t=2.652, P
