Optimizing the technique of laparoscopic splenectomy in children

Abstract

A b s t r a c t

Splenic infarction as a complication of laparoscopic sleeve gastrectomy

“…Affected patients require frequent and regular haematological tests in addition to necessary immunisations including meningococcus, pneumococcus and haemofilus influenzae vaccinations with prolonged prophylactic antibiotic treatment [31][32][33].…”

Laparoscopic interventions in children on peritoneal dialysis

“…Nowadays laparoscopy is moving toward microinvasiveness. Operations in children could be performed with less trauma and better end results even in more complicated procedures [16,17]. Instruments have been made smaller and thinner, which creates the possibility of small incisions [18,19].…”

Sarcoidosis of the spleen – rare indications for splenectomy. Own experience

“…In the course of sarcoidosis, the above-mentioned haematological symptoms are not frequent and the lack of a response to attempted conservative treatment gives grounds for offering surgical treatment to the patient, according to Mahévas et al [13]. Planned laparoscopic splenectomy is currently considered the gold standard [1,5,8,14] and it was performed in the presented patients. Advantages of minimally invasive surgery including minimisation of the trauma connected with "classic" access as well as the short postoperative period (2-3 days) reduce the complication rate, allow a better cosmetic effect and are a great benefit for the patients [14].…”

“…Advantages of minimally invasive surgery including minimisation of the trauma connected with "classic" access as well as the short postoperative period (2-3 days) reduce the complication rate, allow a better cosmetic effect and are a great benefit for the patients [14]. The complication rate of laparoscopic splenectomy in children is less than 13% according to Dzielicki et al [14]. Kołomecki et al emphasize the presence of pleural exudates as a complication of operations in the upper abdomen [15].…”

“…Planned laparoscopic splenectomy is currently considered the gold standard [1,5,8,14] and it was performed in the presented patients. Advantages of minimally invasive surgery including minimisation of the trauma connected with "classic" access as well as the short postoperative period (2-3 days) reduce the complication rate, allow a better cosmetic effect and are a great benefit for the patients [14]. The complication rate of laparoscopic splenectomy in children is less than 13% according to Dzielicki et al [14].…”