The feasibility and effectiveness of a hand-assisted laparoscopic splenectomy for hypersplenism in patients after living-donor liver transplantation

Hideo Uehara, Hirofumi Kawanaka, Tomohiko Akahoshi, Morimasa Tomikawa, Nao Kinjo, Naotaka Hashimoto, Toru Ikegami, Yuuji Soejima, Akinobu Taketomi, Yoshihiko Maehara

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)484-487
Number of pages4
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume19
Issue number6
DOIs
Publication statusPublished - Dec 2009

All Science Journal Classification (ASJC) codes

  • Surgery

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