Khirallah Mohammad Gharieb, Eldessoky Nagi Ebrahim, Elbatarny Akram Mohamed, Elsawaf Mohamed Ebrahim
Department of Pediatric Surgery, Tanta University Hospitals, Tanta, Elgharbeya, Egypt.
J Indian Assoc Pediatr Surg. 2016 Jan-Mar;21(1):14-8. doi: 10.4103/0971-9261.164636.
Laparoscopic splenectomy (LS) is considered the standard approach for the treatment of children with nonmalignant hematological diseases due to the advances in the minimal invasive surgery over the conventional splenectomy (CS). Different techniques are involved in the operation to secure the hilum.
The use of (Ligasure™) is a safe, effective, less time consuming and with less complications rate.
Sixty children (33 with thalassemia, 20 with immune thrombocytopenic purpura [ITP] and seven with spherocytosis) were operated during the period from June 2007 to December 2014. These children had undergone LS using (Ligasure™). Three ports were used in small-sized spleens while four ports were used in large spleens.
There were 60 children (37 girls and 23 boys) with a mean age of 10.2 years had LS using Ligasure™ with mean operative time of 85 min for cases of ITP and 120 min for other cases. There was no mortality. Two cases were converted to CS.
Use of Ligasure™ alone was safe, less time consuming with less complications rates.
由于微创手术相对于传统脾切除术（CS）的进步，腹腔镜脾切除术（LS）被认为是治疗非恶性血液系统疾病患儿的标准方法。手术中涉及不同技术来处理脾门。
使用（Ligasure™）安全、有效、耗时少且并发症发生率低。
2007年6月至2014年12月期间，对60名儿童（33例地中海贫血、20例免疫性血小板减少性紫癜[ITP]和7例球形红细胞增多症）进行了手术。这些儿童接受了使用（Ligasure™）的LS手术。小脾脏使用三个端口，大脾脏使用四个端口。
60名儿童（37名女孩和23名男孩）平均年龄10.2岁，接受了使用Ligasure™的LS手术，ITP病例平均手术时间为85分钟，其他病例为120分钟。无死亡病例。2例转为CS手术。
单独使用Ligasure™安全、耗时少且并发症发生率低。
