Laparoskopisk splenektomi--en case-kontrol-undersøgelse

INTRODUCTION: Laparoscopic splenectomy (LS) is internationally considered the standard procedure in surgical treatment of diseases of the spleen. We present our initial results with LS compared with open splenectomy (OS). MATERIAL AND METHODS: This study is a prospective investigation of 12 elective, consecutive LS compared with 12 matching OS controls. RESULTS: The operation time for LS was significantly longer than for OS (p < 0.01). The intra-operative blood loss was significant lower for LS (p < 0.001) and more accessory spleens were found by LS (p = 0.4). Furthermore, there was a tendency towards fewer postoperative complications in LS (p = 0.35). The admission period was significantly reduced after LS (median two versus four days; p < 0.01). CONCLUSION: Based on this investigation and the international literature on the subject, LS seems to be a safe and favourable procedure for elective splenectomy, except in case of distinct splenomegaly. Therefore, this method should also in Denmark be considered the standard operation for diseases of the spleen, which will probably require a certain centralisation of operations.
Udgivelsesdato: 2009-Jan-12