2012
DOI: 10.1007/s00464-012-2249-9
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Laparoscopic versus robotic subtotal splenectomy in hereditary spherocytosis. Potential advantages and limits of an expensive approach

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Cited by 42 publications
(37 citation statements)
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“…Those patients underwent splenic scintigraphy at one year after surgery, and then every 5 years. Vasilescu et al (7) showed a percentage less than 2 % for pitted erythrocyte in all patients, and transiently Howell-Jolly bodies in 6 of 10 patients, after surgery.…”
Section: Therapy Outcomesmentioning
confidence: 86%
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“…Those patients underwent splenic scintigraphy at one year after surgery, and then every 5 years. Vasilescu et al (7) showed a percentage less than 2 % for pitted erythrocyte in all patients, and transiently Howell-Jolly bodies in 6 of 10 patients, after surgery.…”
Section: Therapy Outcomesmentioning
confidence: 86%
“…(1) The aplastic crisis might lead to dramatic decrease of the hemoglobin concentration and, in this case, a blood transfusion is mandatory. (7) Another complication that might appear in the mild form of the disease (in patients without splenectomy) is the extramedullary hematopoiesis, with the clinical picture of intrathoracic, paravertebral tumors. Elderly patients may also exhibits varicose ulcers.…”
Section: Clinical Presentationmentioning
confidence: 99%
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“…However, some authors, in other surgical procedures, demonstrated that in high‐volume centres, especially with a multidisciplinary use of the robotic platform, such as our tertiary care hospital, capital and maintenance costs are decreased about 35% . Lastly, to obtain a effective cost:benefit ratio, patient selection as well as procedure selection is mandatory , as we have done for type IV HH.…”
Section: Discussionmentioning
confidence: 99%
“…Minimal invasive surgery (MIS) is feasible and safe with growing popularity in different clinical practices (1)(2)(3)(4)(5). Laparoscopic and robotic splenectomies are subgroups of MIS and have been increased due to good exposure of the surgical field, less bleeding, postoperative abdominal pain and shorter length of the hospital stay (6)(7)(8). Robotic or laparoscopic splenectomies (RLS) are performed usually for benign blood disorders, splenic cystic disease, and play a crucial role in the management of a many malignant lymphoproliferative disorders (9,10).…”
Section: Introductionmentioning
confidence: 99%