[The laparoscopic splenectomy in patients with hypersplenism, caused by liver cirrhosis].

The study aimed to assess the efficacy of the laparoscopic splenectomy in hematologic patients. The retrospective study included 147 patients with various hematologic diseases and hypersplenism operated during 2002-2010 yy. 125 (85.03%) conventional and 22 (14.97%) laparoscopic operations were carried out. The statistical difference were revealed only for the size and weight of the spleen and duration of the operation. The conventional group had 23.2% of complications and the laparoscopic group showed the 22.7% complication rate. The laparoscopic splenectomy was successfully carried in patients with the unchanged organ linear size (12.4 sm) and in younger patients. The choice of the surgical method was defined mainly by the spleen linear size.