Safety and Feasibility of Laparoscopic Splenectomy in Patients with Blunt Splenic Injury

Document Type : Original Article

Authors

1 Department of General Surgery, Tripoli University, Libya

2 Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Abstract

Background: With the surge of laparoscopic surgery, blunt trauma cases have been reported in which a laparoscopic approach has been used, especially for partial splenectomies. Evidence, however, has not yet reached acceptable standards. This study aimed to evaluate the safety, feasibility, and outcome of laparoscopic splenectomy in patients with blunt splenic injury.
Patients and methods: This clinical trial study was carried out in Zagazig University hospital including 30 patients with splenic injuries caused by blunt abdominal trauma who were admitted to the Emergency Department of Zagazig University hospitals during the period from March 2020 to September 2020 to evaluate the feasibility and outcome of laparoscopic splenectomy in patients with blunt splenic injury. The diagnosis of splenic injury caused by blunt splenic trauma was confirmed on basis of Radiological investigations and Laboratory investigations.
Results: in this study, Only 2 cases 6.7% converted to open. Overall complication founded in 4 cases with 13.3%.
Conclusion: Laparoscopic Splenectomy was safe and technically feasible when applied carefully to patients with blunt abdominal trauma, decreasing the hospitalization time and postoperative ICU stay.

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Zagazig University Medical Journal
Volume 29, Issue 2
March 2023
Pages 582-586

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