Avtor/Urednik		Pegan, Vladislav; Sojar, Valentin; Stanisavljevič, Dragoje
Naslov		Laparoskopska splenektomija
Prevedeni naslov		Laparoscopic splenectomy - our experience
Tip		članek
Vir		In: Repše S, Stanisavljevič D, editors. Zbornik simpozija Kirurgija jeter in vranice; 2004; Ljubljana. Ljubljana: Kirurška šola, Klinični oddelek za obdominalno kirurgijo,
Leto izdaje		2004
Obseg		str. 241-8
Jezik		slo
Abstrakt		Background The laparoscopic splenectomy is a method of choice for a safe removal of the spleen in patients with haemathologic diseases having usualy only a slight spleen enlargment if any. Patients and methods. In the period from January 1997 till June 2004 we have performed 37 laparoscopic splenectomies. The indication was in 32 patients a haemathologic disorder, 26 patients having idiopathic thrombocytopenic purpura, spherocytosis in four cases two hemolytic anemias and 5 patients were operated upon for benign splenic cysts. Patients are positioned on the operating table in a lateral decubitus "antitrendelenburg" position with the left flank lifted. In majority of cases only three trocars, an 'endostaple' and endobag have been used. Results. The mean operating time in our series was 125 minutes, ranging from 70 to 240 minutes. A conversion was necessary in three cases. Peroperative blood replacement was executed in five patients. The average hospital stay was 5 days.ln three patients we discovered and removed an accessory spleen. Two patients developed postoperatively a subphrenic abscess, which were drained percutaneously.
Deskriptorji		SPLENIC DISEASES SPLENECTOMY SURGERY, LAPAROSCOPIC SPLEEN PURPURA, THROMBOCYTOPENIC, IDIOPATHIC PURPURA, THROMBOTIC THROMBOCYTOPENIC ANEMIA, HEMOLYTIC