Laparoscopic splenectomy experience in the University Hospital ‘‘Dr. José Eleuterio González’’

To present the laparoscopic splenectomy (LS) experience at the ‘‘Dr. José E. González’’ University Hospital from January 2008 to October 2014. Methods: Retrospective and descriptive analysis of clinical and surgical aspects of all patients who underwent laparoscopic splenectomy from January 1st 2008...

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Autores principales: Cueto Ramos, Rubén Gerardo, Muñoz Maldonado, Gerardo Enrique, Hernández Guedea, Marco Antonio, Fernández Treviño, J. R., Limas Rodríguez, Q. G.
Formato: Artículo
Lenguaje:inglés
Publicado: UANL. Facultad de Medicina 2015
Materias:
Acceso en línea:http://eprints.uanl.mx/11601/1/S1665579615000034_S300_en.pdf
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author Cueto Ramos, Rubén Gerardo
Muñoz Maldonado, Gerardo Enrique
Hernández Guedea, Marco Antonio
Fernández Treviño, J. R.
Limas Rodríguez, Q. G.
author_facet Cueto Ramos, Rubén Gerardo
Muñoz Maldonado, Gerardo Enrique
Hernández Guedea, Marco Antonio
Fernández Treviño, J. R.
Limas Rodríguez, Q. G.
author_sort Cueto Ramos, Rubén Gerardo
collection Repositorio Institucional
description To present the laparoscopic splenectomy (LS) experience at the ‘‘Dr. José E. González’’ University Hospital from January 2008 to October 2014. Methods: Retrospective and descriptive analysis of clinical and surgical aspects of all patients who underwent laparoscopic splenectomy from January 1st 2008 to October 31st 2014 at the ‘‘Dr. José Eleuterio González’’ University Hospital. Results: Laparoscopic splenectomies were performed on 14 patients, with a mean age of 20.6 years. Indications for splenectomy included the following diagnosis: idiopathic thrombocytopenic purpura (ITP), 71%; hereditary spherocytosis, 14%; sickle cell anemia and thalassemia, 7%; pyruvate kinase deficient hemolytic anemia, 7%. Mean operative time was 177.5 min. Mean intraoperative hemorrhage was 223.5 ml. Conversion to laparotomy occurred in one patient (7%) associated with uncontrollable bleeding with splenomegaly. Accessory spleens were identified in 3 patients (21%). Mean spleen weight was 187.5 g. Mean postoperative hospital stay was 3.35 days. There was no surgical re-intervention. The 4 trocar right lateral decubitus approach was the preferred method for all patients. Conclusions: LS can be performed as a safe and effective procedure in benign hematological diseases in our everyday environment.
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spelling eprints-116012024-03-05T20:48:10Z http://eprints.uanl.mx/11601/ Laparoscopic splenectomy experience in the University Hospital ‘‘Dr. José Eleuterio González’’ Cueto Ramos, Rubén Gerardo Muñoz Maldonado, Gerardo Enrique Hernández Guedea, Marco Antonio Fernández Treviño, J. R. Limas Rodríguez, Q. G. RD Cirugía To present the laparoscopic splenectomy (LS) experience at the ‘‘Dr. José E. González’’ University Hospital from January 2008 to October 2014. Methods: Retrospective and descriptive analysis of clinical and surgical aspects of all patients who underwent laparoscopic splenectomy from January 1st 2008 to October 31st 2014 at the ‘‘Dr. José Eleuterio González’’ University Hospital. Results: Laparoscopic splenectomies were performed on 14 patients, with a mean age of 20.6 years. Indications for splenectomy included the following diagnosis: idiopathic thrombocytopenic purpura (ITP), 71%; hereditary spherocytosis, 14%; sickle cell anemia and thalassemia, 7%; pyruvate kinase deficient hemolytic anemia, 7%. Mean operative time was 177.5 min. Mean intraoperative hemorrhage was 223.5 ml. Conversion to laparotomy occurred in one patient (7%) associated with uncontrollable bleeding with splenomegaly. Accessory spleens were identified in 3 patients (21%). Mean spleen weight was 187.5 g. Mean postoperative hospital stay was 3.35 days. There was no surgical re-intervention. The 4 trocar right lateral decubitus approach was the preferred method for all patients. Conclusions: LS can be performed as a safe and effective procedure in benign hematological diseases in our everyday environment. UANL. Facultad de Medicina 2015 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/11601/1/S1665579615000034_S300_en.pdf http://eprints.uanl.mx/11601/1.haspreviewThumbnailVersion/S1665579615000034_S300_en.pdf Cueto Ramos, Rubén Gerardo y Muñoz Maldonado, Gerardo Enrique y Hernández Guedea, Marco Antonio y Fernández Treviño, J. R. y Limas Rodríguez, Q. G. (2015) Laparoscopic splenectomy experience in the University Hospital ‘‘Dr. José Eleuterio González’’. Medicina universitaria, 17 (66). pp. 38-41. ISSN 1665-5796 http://dx.doi.org/10.1016/j.rmu.2015.01.002 10.1016/j.rmu.2015.01.002
spellingShingle RD Cirugía
Cueto Ramos, Rubén Gerardo
Muñoz Maldonado, Gerardo Enrique
Hernández Guedea, Marco Antonio
Fernández Treviño, J. R.
Limas Rodríguez, Q. G.
Laparoscopic splenectomy experience in the University Hospital ‘‘Dr. José Eleuterio González’’
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Laparoscopic splenectomy experience in the University Hospital ‘‘Dr. José Eleuterio González’’
title_full Laparoscopic splenectomy experience in the University Hospital ‘‘Dr. José Eleuterio González’’
title_fullStr Laparoscopic splenectomy experience in the University Hospital ‘‘Dr. José Eleuterio González’’
title_full_unstemmed Laparoscopic splenectomy experience in the University Hospital ‘‘Dr. José Eleuterio González’’
title_short Laparoscopic splenectomy experience in the University Hospital ‘‘Dr. José Eleuterio González’’
title_sort laparoscopic splenectomy experience in the university hospital dr jose eleuterio gonzalez
topic RD Cirugía
url http://eprints.uanl.mx/11601/1/S1665579615000034_S300_en.pdf
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