Journal article
Laparoscopic Splenectomy: Has It Become the Standard Surgical Approach in Pediatric Patients?
The Journal of surgical research, Vol.240, pp.109-114
08/2019
DOI: 10.1016/j.jss.2019.02.045
PMID: 30925411
Abstract
Splenectomy is often required in the pediatric population as part of the treatment of hematologic disorders and can be performed laparoscopically or open. We evaluated the comparative effectiveness of laparoscopic (LS) and open (OS) splenectomies using the American College of Surgeons National Surgical Quality Improvement Program Pediatric (NSQIP-P) data set.
The NSQIP-P data set was used to identify children who underwent elective splenectomy between January 2012 and December 2016. Thirty-day outcomes between OS and LS, and LS alone and concurrent LS and cholecystectomy were compared using univariate and multivariate analysis.
Most of the splenectomies (91%) were performed laparoscopically. There was no difference in overall complications between OS (n = 60) and LS (n = 613), although OS had a higher risk of perioperative transfusion (OR 3.19, 95% CI 1.52-6.69). LS was associated with a shorter median hospital length of stay (2 versus 4 d, P < 0.001) and similar mean operative times compared to OS (120 versus 133 min, P = 0.559). There was no difference in outcomes of children undergoing LS versus LS and concurrent cholecystectomy (n = 129).
LS has become the standard approach for elective splenectomies in the pediatric population and has minimal morbidity, and when indicated, concurrent cholecystectomies do not increase the risk of complications.
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Details
- Title: Subtitle
- Laparoscopic Splenectomy: Has It Become the Standard Surgical Approach in Pediatric Patients?
- Creators
- Alan F Utria - Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IowaPaolo Goffredo - Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IowaKendall Keck - Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IowaJulia S Shelton - Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IowaJoel Shilyansky - Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IowaImran Hassan - Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of surgical research, Vol.240, pp.109-114
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jss.2019.02.045
- PMID
- 30925411
- ISSN
- 0022-4804
- eISSN
- 1095-8673
- Language
- English
- Date published
- 08/2019
- Academic Unit
- Stead Family Department of Pediatrics; Surgery
- Record Identifier
- 9984051521702771
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