Combined needlescopic cholecystectomy and laparoscopic splenectomy for the treatment of thalassaemic splenomegaly and cholelithiasis.
- Author:
Jasmi AY
;
Thambidorai CR
;
Khairussalleh J
- Publication Type:Case Reports
- MeSH:
Cholecystectomy, Laparoscopic/*methods;
Cholelithiasis/etiology;
Cholelithiasis/*surgery;
Splenectomy/*methods;
Splenomegaly/etiology;
Splenomegaly/*surgery;
beta-Thalassemia/*complications
- From:
The Medical Journal of Malaysia
2003;58(3):443-445
- CountryMalaysia
- Language:Malay
-
Abstract:
Gallstone disease is a common association in patients with haematological splenomegaly. When indicated, simultaneous splenectomy and cholecystectomy should be performed and traditionally this is accomplished by open surgery. We report a 17 year old thalassaemic girl with splenomegaly complicated by gallstone pancreatitis. We treated her with a combination of needlescopic cholecystectomy and laparoscopic splenectomy as well as delivering the huge spleen via a pfannenstiel incision to hide the scar. We believe this technique is an acceptable alternative mainly for rapid delivery of the spleen and to minimize visible scars hence improving cosmesis.
