Search

Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Laparoscopic techniques are utilized with confidence in many procedures. In our study, we aimed to compare laparoscopic and open splenectomy for the treatment of nontraumatic diseases. Methods: We performed a retrospective evaluation of 62 patients who underwent splenectomy due to hematological disease between November 2001 and August 2009. The patients were evaluated on the basis of age, gender and hematological disease. Spleen size, spleen weight, postoperative hospital stay, operative time, bleeding, pre- and postoperative platelet count, incidence of accessory spleen, and the incidence of major complications were evaluated and compared in patients undergoing laparoscopic surgery and open surgery. Results: Laparoscopic splenectomy was associated with improvements in the duration of hospitalization, bleeding, and postoperative day 1 platelet count. Open surgery was superior with regards to spleen size, weight and operative time (p<0.05). There was no significant difference in the rate of postoperative complications or the incidence of accessory spleen. Conclusion: Similar to other laparoscopic procedures, laparoscopic splenectomy is superior to open splenectomy in many aspects. Currently, laprocscopic surgery may be disadvantageous for patients with very large spleens due to the increased operative time and technical difficulty of the procedure. Improvements in surgical technique and skill can enhance the utility of laparoscopic methods in splenectomy. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Kartal Training & Research Hospital / Kartal Egitim ve Arastirma Hastanesi Tip Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: In this study, we aimed to evaluate the superiority of intracorporeal sutures and Hem-o-lok clips about efficiency, reliability and cost., Methods: We performed laparoscopic surgery for acute appendicitis in this study. Appendiceal stump was closed by Hem-o-lok clips (Group I) and intracorporeal knotting (Group II) in a randomized manner. Groups were compared for demographic data (age, sex, body mass index, American Society of Anesthesiologists score) operation time, total cost, 2.6.12.24.hours and 7th day pain score., Results: Demographic data, such as age, gender and BMI, were similar between groups (p>0.05). There was no significant difference between the groups concerning peroperative and postoperative complications (p>0.05). No postoperative nausea, vomiting, ileus and intraabdominal abscess were observed in patients. There was no significant difference between the groups about duration of operation, length of hospital stay and cost analysis (p>0.05). There was no significant difference in pain scores of groups. The effect of the operation type on pain scores was not statistically significant (p>0.05)., Conclusion: This study showed that both intracorporeal knotting and Hem-o-loc clips were effective, reliable and similar cost-effective in laparoscopic appendectomy. The decision should be based on the surgeon's experience.