Zafar Hasnain, Hameed Aamir, Pardhan Amyn, Murtaza Ghulam, Mazahir Samia
Department of General Sugery, The Aga Khan University Hospital, Karachi.
J Pak Med Assoc. 2012 Oct;62(10):1096-9.
Laparoscopic splenectomy has universal acceptance due to less morbidity and decreased incidence of peroperative and postoperative complication. It is not a popular procedure in Pakistan due to technical challenges. Here, we are presenting our experience of laparoscopic splenectomy for haematological disorders at Aga Khan University Hospital. A total of seven cases, underwent elective laparoscopic splenectomy for haematological disorders. The operative time was less than 3 hours with minimal blood loss with rapid and uneventful recovery. There was no procedure related morbidity or mortality; however, one patient expired due to overwhelming post splenectomy sepsis. Our initial report highlights the safety of laparoscopic splenectomy and we propose it to be the procedure of choice in elective splenectomy.
由于发病率较低以及围手术期和术后并发症的发生率降低，腹腔镜脾切除术已被广泛接受。由于技术挑战，该手术在巴基斯坦并不普及。在此，我们介绍在阿迦汗大学医院进行腹腔镜脾切除术治疗血液系统疾病的经验。共有7例患者因血液系统疾病接受了择期腹腔镜脾切除术。手术时间少于3小时，出血量极少，恢复迅速且平稳。没有与手术相关的发病率或死亡率；然而，有1例患者因脾切除术后严重感染而死亡。我们的初步报告强调了腹腔镜脾切除术的安全性，我们建议将其作为择期脾切除术的首选术式。
