Hand-assisted laparoscopic surgery with a Pfannenstiel incision in beta-thalassemia patients: initial experience.

作者信息

Leandros Emmanuel, Alexakis Nicholas, Albanopoulos Konstadinos, Dardamanis Dimitris, Karagiorga Markisia, Gomatos Ilias, Papadopoulos Stefanos, Bacoyiannis Christos, Bramis John

机构信息

First Department of Propedeutic Surgery, University of Athens, Hippokration Hospital, 114 V Sofias Avenue, Athens, 11527, Greece.

出版信息

World J Surg. 2006 Jul;30(7):1216-20. doi: 10.1007/s00268-005-0542-7.

DOI:10.1007/s00268-005-0542-7

PMID:16773256

Abstract

INTRODUCTION

beta-Thalassemia patients have splenomegaly significant enough to require splenectomy; furthermore, these patients also often require concurrent procedures.

METHODS

Between January and October 2005, seven patients with beta-thalassemia underwent hand-assisted laparoscopic splenectomy with cholecystectomy, appendectomy, and liver biopsy with the hand-port device introduced through a Pfannenstiel incision.

RESULTS

The median age of the patients was 28 years, and the median spleen length was 23 cm. The median operating time was 210 minutes; there were no conversions to an open procedure; and the median spleen weight was 1072 g. One major postoperative complication occurred. The median hospital stay was 6 days.

CONCLUSIONS

The proposed hand-assisted laparoscopic approach is safe and feasible. It provides a minimally invasive alternative that may become the treatment of choice in beta-thalassemia patients who require concurrent operations.

摘要