TY - JOUR
T1 - The feasibility and effectiveness of a hand-assisted laparoscopic splenectomy for hypersplenism in patients after living-donor liver transplantation
AU - Uehara, Hideo
AU - Kawanaka, Hirofumi
AU - Akahoshi, Tomohiko
AU - Tomikawa, Morimasa
AU - Kinjo, Nao
AU - Hashimoto, Naotaka
AU - Ikegami, Toru
AU - Soejima, Yuuji
AU - Taketomi, Akinobu
AU - Maehara, Yoshihiko
PY - 2009/12
Y1 - 2009/12
N2 - 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.
AB - 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.
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U2 - 10.1097/SLE.0b013e3181bc3f90
DO - 10.1097/SLE.0b013e3181bc3f90
M3 - Article
C2 - 20027092
AN - SCOPUS:74949121798
SN - 1530-4515
VL - 19
SP - 484
EP - 487
JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
IS - 6
ER -