Laparoscopic splenectomy for hematological diseases

P. Torelli, D. Cavaliere, M. Casaccia, F. Panaro, P. Grondona, E. Rossi, G. Santini, M. Truini, M. Gobbi, A. Bacigalupo, U. Valente

Research output: Contribution to journalArticlepeer-review


Background: We reviewed retrospectively the records of all patients who underwent laparoscopic splenectomy (LS) at our institution for a wide range of hematological disorders. We compared our experience to those reported in the literature and analyzed various aspects of the treatment that are still under discussion and in need of confirmation, such as the treatment of malignant blood diseases, the indication in case of splenomegaly, and the adequacy of the detection of accessory spleens. Methods: Between June 1997 and June 2001, we performed 43 LS. The patients were classified into three groups according to clinical diagnosis: idiopathic thrombocytopenic purpura (ITP) (n = 23), hemolytic anemia (HA) (n = 5), and hematological malignancy (HM) (n = 15). Statistical analyses were done to compare the three groups. Results: LS was completed in 41 patients, with a conversion rate of 5%. Splenomegaly was present in 37% of all patients (73% of HM). Mean operative time was 128 min. The incidence of accessory spleens was 20%. A concomitant laparoscopic procedure was done in three cases (cholecystectomy). Postoperative complications occurred in eight patients (18%). Duration of surgery, length of hospital stay, transfusions rate, and some demographics features, such as age and spleen weight and length, were significantly different in each group. No deaths were attributed to the procedure. Conclusions: The statistical analysis of our series shows that, the laparoscopic approach reliable even in the management of malignant and nonmalignant blood diseases.

Original languageEnglish
Pages (from-to)965-971
Number of pages7
JournalSurgical Endoscopy and Other Interventional Techniques
Issue number6
Publication statusPublished - 2002


  • Hemolytic anemia
  • Idiopathic thrombocytopenic purpura
  • Laparoscopic surgery
  • Myelofibrosis
  • Non-Hodgkin's lymphoma
  • Splenectomy

ASJC Scopus subject areas

  • Surgery

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