E-ISSN 2149-388X | ISSN 2149-0430
 

Original Article 


Comparison of Perioperative Results of Single Port Laparoscopic, Multiple Port Laparoscopic and Open Splenectomy in Patients with Non-Traumatic Splenic Diseases: Clinical Retrospective Trial

Erkan Guler, Taylan Ozgur Sezer, Muhtar Sinan Ersin, Ozgur Firat.

Abstract
Introduction: The single-port laparoscopic splenectomy procedure is a brand new technique. Although it is reported that perioperative complications are less with conventional laparoscopy and open procedure, the number of studies comparing the perioperative outcomes of all three techniques is not high. This study compares the perioperative outcomes of these three splenectomy techniques in non-traumatic splenic diseases.
Materials and Methods: Total number of 82 patients (aged 18-72 years ) who underwent splenectomy due to non-traumatic reasons between June 2011 and December 2016 in Ege University General Surgery Department were investigated, respectively. Patients were divided into three groups according to the procedure type, including single-port splenectomy (SILS), multiple port laparoscopic splenectomy (LS), open splenectomy (OS).
Results: There was no significant difference in intraoperative bleeding and post-op complications between the three groups. Patients who underwent surgery due to ITP were respectively 26.4%, 91.2%, 80% in group 1,2 and 3 (P1 and p3>0.05). The mean operation times were respectively 81±17 min, 81±22 min, and 97±22 min in groups 1, 2, and 3 (p1 and p3>0.05, p2<0.05). The hospital stay was 3.4 days (±0.72) in group 1, 3.1 days (±1.10) in group 2, and (±0.7) in group 3 (P1<0.05, p2<0.05 and p3<0.05). In group 2, two patients were converted to open splenectomy because of the bleeding. In Group 3, laparoscopic splenectomy was performed because of the difficulty of dissection.
Conclusion: Single port laparoscopic splenectomy is a safe and effective alternative to both standard laparoscopic and open splenectomy.

Key words: Laparoscopic splenectomy, open splenectomy, single port splenectomy


 
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How to Cite this Article
Pubmed Style

Guler E, Sezer TO, Ersin MS, Firat O. Comparison of Perioperative Results of Single Port Laparoscopic, Multiple Port Laparoscopic and Open Splenectomy in Patients with Non-Traumatic Splenic Diseases: Clinical Retrospective Trial. Ulutas Med J. 2021; 7(3): 181-187. doi:10.5455/umj.20210702102448


Web Style

Guler E, Sezer TO, Ersin MS, Firat O. Comparison of Perioperative Results of Single Port Laparoscopic, Multiple Port Laparoscopic and Open Splenectomy in Patients with Non-Traumatic Splenic Diseases: Clinical Retrospective Trial. http://www.ulutasmedicaljournal.com/?mno=92432 [Access: September 24, 2021]. doi:10.5455/umj.20210702102448


AMA (American Medical Association) Style

Guler E, Sezer TO, Ersin MS, Firat O. Comparison of Perioperative Results of Single Port Laparoscopic, Multiple Port Laparoscopic and Open Splenectomy in Patients with Non-Traumatic Splenic Diseases: Clinical Retrospective Trial. Ulutas Med J. 2021; 7(3): 181-187. doi:10.5455/umj.20210702102448



Vancouver/ICMJE Style

Guler E, Sezer TO, Ersin MS, Firat O. Comparison of Perioperative Results of Single Port Laparoscopic, Multiple Port Laparoscopic and Open Splenectomy in Patients with Non-Traumatic Splenic Diseases: Clinical Retrospective Trial. Ulutas Med J. (2021), [cited September 24, 2021]; 7(3): 181-187. doi:10.5455/umj.20210702102448



Harvard Style

Guler, E., Sezer, . T. O., Ersin, . M. S. & Firat, . O. (2021) Comparison of Perioperative Results of Single Port Laparoscopic, Multiple Port Laparoscopic and Open Splenectomy in Patients with Non-Traumatic Splenic Diseases: Clinical Retrospective Trial. Ulutas Med J, 7 (3), 181-187. doi:10.5455/umj.20210702102448



Turabian Style

Guler, Erkan, Taylan Ozgur Sezer, Muhtar Sinan Ersin, and Ozgur Firat. 2021. Comparison of Perioperative Results of Single Port Laparoscopic, Multiple Port Laparoscopic and Open Splenectomy in Patients with Non-Traumatic Splenic Diseases: Clinical Retrospective Trial. THE ULUTAS MEDICAL JOURNAL, 7 (3), 181-187. doi:10.5455/umj.20210702102448



Chicago Style

Guler, Erkan, Taylan Ozgur Sezer, Muhtar Sinan Ersin, and Ozgur Firat. "Comparison of Perioperative Results of Single Port Laparoscopic, Multiple Port Laparoscopic and Open Splenectomy in Patients with Non-Traumatic Splenic Diseases: Clinical Retrospective Trial." THE ULUTAS MEDICAL JOURNAL 7 (2021), 181-187. doi:10.5455/umj.20210702102448



MLA (The Modern Language Association) Style

Guler, Erkan, Taylan Ozgur Sezer, Muhtar Sinan Ersin, and Ozgur Firat. "Comparison of Perioperative Results of Single Port Laparoscopic, Multiple Port Laparoscopic and Open Splenectomy in Patients with Non-Traumatic Splenic Diseases: Clinical Retrospective Trial." THE ULUTAS MEDICAL JOURNAL 7.3 (2021), 181-187. Print. doi:10.5455/umj.20210702102448



APA (American Psychological Association) Style

Guler, E., Sezer, . T. O., Ersin, . M. S. & Firat, . O. (2021) Comparison of Perioperative Results of Single Port Laparoscopic, Multiple Port Laparoscopic and Open Splenectomy in Patients with Non-Traumatic Splenic Diseases: Clinical Retrospective Trial. THE ULUTAS MEDICAL JOURNAL, 7 (3), 181-187. doi:10.5455/umj.20210702102448