Validation of a Difficulty Grading Score in Laparoscopic Splenectomy

Gonçalves, Diana; Morais, Marina Resener de; Pinho, André Costa; Melo, Renato Bessa; Graça, Luís; Costa-Maia, José

doi:10.1089/lap.2017.0478

Cited by 3 publications

(3 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some authors aimed at developing a difficulty score of LS to prepare patients with more investigations, plan B activation and competent surgeons to operate. However, difficulties and postoperative complications are still present even with expert surgeons [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prognostic scoring system of laparoscopic splenectomy in children with benign hematological diseases, a retrospective cohort study

Khirallah

Kabbash

El-Dessouki

2021

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Purpose laparoscopic splenectomy (LS) gained popularity during the last years among pediatric surgeons. Benign hematological diseases represent the main indications of that procedure. There are some score systems of difficulty of the technique. Most of them are for adult patients. The aim is to develop a prognostic score system of LS in children with benign hematological diseases. Methods LS was performed in all children with benign hematological diseases. The children were operated in lateral decubitus position. The control of pedicle was achieved using bipolar sealing devices, polymer clips or endoscopic linear stablers. Preoperative, operative, and postoperative data were recorded and analyzed. Children were divided into two groups A and B according to the onset of complications. Results 137 successive children were operated. The mean age of patients was 8.7 (4–15) years. The main indications of LS were thalassemia, spherocytosis, idiopathic thrombocytopenic purpura (ITP), and sickle cell anemia (SCA). The mean length of splenic axis in thalassemia and spherocytosis cases was15.6 ± 2.3 cm. The mean amount of estimated blood loss (EABL) was 149 ± 43.2 ml in group A while it was 185 ± 44.4 ml in group B. The mean operative time in group A was 75.5 ± 22.5 min while it was 89.2 ± 20.6 min in group B. Conclusion the development of prognostic score of LS in children with benign hematological diseases can predict children who are more susceptible for complications. It helps to minimize these complications and improve the outcome of LS.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Goncalves depended on Clavien-Dindo classification to describe the pattern of complications following LS in their cohort. They found that the rate of complications was increased when there were prolonged operative time, bleeding of more than 500 ml or conversion to open splenectomy [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Prognostic scoring system of laparoscopic splenectomy in children with benign hematological diseases, a retrospective cohort study

Khirallah

Kabbash

El-Dessouki

2021

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

show abstract

“…A preoperative clinical examination to assess the abdominal "working space" in case of a laparoscopic access is of capital importance. 18,19 In particular, this parameter may play a critical role, being strongly related with both "body habitus" and abdominal wall relaxation. Spleen size might be associated with abdominal dimensions to give some idea of the room available to move the laparoscopic instruments.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Splenectomy Versus Open Splenectomy In Massive and Giant Spleens: Should we Update the 2008 EAES Guidelines?

Casaccia

Sormani²,

Palombo

et al. 2019

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

The objective of this study was to derive some useful parameters to define the feasibility of laparoscopic splenectomy (LS) in massive [spleen longitudinal diameter (SLD) > 20 cm] and giant spleens (SLD > 25 cm). Between December 1996 and May 2017, 175 patients underwent an elective splenectomy. A laparoscopic approach was used in 133 (76%) patients. Massive spleens were treated in 65 (37.1%) patients, of which 24 were treated laparoscopically. In this subset of massive spleens, the results of laparoscopic splenectomy in massive spleens (LSM) and open splenectomy in massive spleens (OSM) were compared. The clinical outcome of a subgroup of patients with giant spleens was also analyzed. The LSM group resulted in significant longer operative times (143 ± 31 vs. 112 ± 40 min; P = 0.001), less blood loss (278 ± 302 vs. 575 ± 583 mL; P = 0.007), and shorter hospital stay (6 ± 3 vs. 9 ± 4 d; P = 0.004). No conversions were experienced in the LSM group, and the morbidity rate was similar in both the LSM and OSM groups (16.6% vs. 20%; P = 0.75). When considering the subset of 9 LSM patients and 26 OSM patients with giant spleens, the same favorable tendency of the laparoscopic group as regards surgical conversion, blood loss, and hospital stay was maintained. The laparoscopic approach can be successfully proposed in the presence of massive splenomegaly also after a careful preoperative evaluation of the expected abdominal "working space." In experienced hands, LS is safe, feasible, and associated with better outcomes than open splenectomy for the treatment of massive and giant spleen, with a maximum SLD limit of 31 cm.

show abstract

A novel preoperative scoring system to predict technical difficulty in laparoscopic splenectomy for non-traumatic diseases

Liu

Ding

et al. 2020

Surg Endosc

View full text Add to dashboard Cite

Validation of a Difficulty Grading Score in Laparoscopic Splenectomy

Cited by 3 publications

References 15 publications

Prognostic scoring system of laparoscopic splenectomy in children with benign hematological diseases, a retrospective cohort study

Prognostic scoring system of laparoscopic splenectomy in children with benign hematological diseases, a retrospective cohort study

Laparoscopic Splenectomy Versus Open Splenectomy In Massive and Giant Spleens: Should we Update the 2008 EAES Guidelines?

A novel preoperative scoring system to predict technical difficulty in laparoscopic splenectomy for non-traumatic diseases

Contact Info

Product

Resources

About