Background: A laparoscopic splenectomy in patients who previously underwent living-donor liver transplantation (LDLT) is thought to be technically difficult because of the presence of severe adhesions and splenomegaly. This report documents the efficacy and safety of a hand-assisted laparoscopic splenectomy (HALS) for hypersplenism in patients after LDLT. Methods: Five patients underwent HALS for hypersplenism after LDLT between 1999 and 2007. The medical records of those patients were retrospectively evaluated. Results: The mean operative time was 237±12 minutes. The mean blood loss was 229±100mL and the mean weight of excised spleen was 461±46g. There was no conversion to open surgery. The number of platelets and leukocytes were significantly increased after surgery. No major complications were observed except for a patient who suffered paralytic ileus postoperatively. The mean hospital stay after the operation was 16.7±2.5 days. Conclusions: HALS for patients after LDLT is a feasible and safe procedure. This technique can thus become a standard procedure after LDLT.
|Number of pages||4|
|Journal||Surgical Laparoscopy, Endoscopy and Percutaneous Techniques|
|Publication status||Published - Dec 2009|
All Science Journal Classification (ASJC) codes