Milosavljevic Vladimir, Tadic Boris, Grubor Nikola, Eric Dragan, Reljic Milorad, Matic Slavko
Sırbistan Klinik Merkezi, Sindirim Cerrahisi Kliniği, Hepatobiliyer ve Pankreas Cerrahisi Bölümü, Belgrad, Sırbistan.
Belgrad Üniversitesi Tıp Fakültesi, Cerrahi Anabilim Dalı, Belgrad, Sırbistan.
Turk J Surg. 2019 Jun 13;35(2):111-116. doi: 10.5578/turkjsurg.4324. eCollection 2019 Jun.
Laparoscopic splenectomy became the standard surgical procedure in the 1990s. The goal of this study was to analyze the outcome of the patients who underwent laparoscopic splenectomy for the benign hematologic diseases of the spleen and compare its results with open splenectomy.
The study was conducted as a retrospective cohort study analyzing and comparing the data obtained from 196 patients' case records in the Clinic for Digestive Surgery, Clinical Center of Serbia, for the benign disorders of the spleen, divided into two groups: patients operated with laparoscopic technique and patients in whom classic splenectomy was performed. The analyzed parameters were divided into three groups as preoperative, intraoperative and postoperative.
In the laparoscopic splenectomy group, less intraoperative blood loss, lower incidental intraoperative complications and a shorter duration of surgery were recorded. The incidence of postoperative complications and reoperations was higher in the group of classically operated patients. Postoperative recovery, expressed by the duration of postoperative abdominal drainage, recovery of intestinal peristalsis and length of postoperative hospitalization, was significantly shorter in the laparoscopic group.
Laparoscopic splenectomy is an effective and safe surgical procedure in the treatment of many benign diseases of the spleen. Improvement of the laparoscopic technique of surgical teams and technical improvement of the laparoscopic equipment can lead to even wider application of laparoscopic splenectomy as standard operative procedure, and thus to safer and better quality treatment of patients with wider spectrum diseases of the spleen.
腹腔镜脾切除术在20世纪90年代成为标准手术方式。本研究的目的是分析因脾脏良性血液系统疾病接受腹腔镜脾切除术患者的治疗结果，并将其结果与开放性脾切除术进行比较。
本研究为回顾性队列研究，分析并比较塞尔维亚临床中心消化外科196例脾脏良性疾病患者病历资料，分为两组：采用腹腔镜技术手术的患者和接受经典脾切除术的患者。分析参数分为术前、术中和术后三组。
腹腔镜脾切除术组术中出血量更少，术中意外并发症更低，手术时间更短。经典手术组患者术后并发症和再次手术的发生率更高。腹腔镜组术后恢复情况，以术后腹腔引流时间、肠道蠕动恢复情况和术后住院时间表示，明显更短。
腹腔镜脾切除术是治疗多种脾脏良性疾病的有效且安全的手术方式。手术团队腹腔镜技术的提高以及腹腔镜设备的技术改进可使腹腔镜脾切除术作为标准手术方式得到更广泛应用，从而为更广泛脾脏疾病谱患者提供更安全、质量更高的治疗。
