Outcome of laparoscopic splenectomy for malignant hematologic diseases

Davide Cavaliere, Paolo Torelli, Fabrizio Panaro, Marco Casaccia, Davide Ghinolfi, Gregorio Santori, Edoardo Rossi, Andrea Bacigalupo, Umberto Valente

Research output: Contribution to journalArticle

Abstract

Aim: The role of laparoscopic splenectomy in the treatment of hematological diseases is still controversial. The aim of this study was to assess whether the benign or malignant nature of hematological diseases may influence the outcome of laparoscopic splenectomy. Patients and methods: Between August 1997 and March 2002, 63 unselected patients with hematologic diseases underwent a laparoscopic splenectomy. Patients were divided into two groups according to the benign (Group A, 38 patients) or malignant (Group B, 25 patients) nature of the hematological diseases. Results: Patients in group B were significantly (a) older, (b) had larger spleens that more frequently needed accessory incisions for specimen retrieval, (c) had greater transfusion requirements, and (d) were fed later than patients in group A. There were no statistically significant differences among the two groups in terms of (a) body-mass index, (b) operative time, (c) conversion rate, (d) blood loss, (e) pain medication requirements, and (f) hospital stay. Two postoperative deaths occurred among patients in group B, but none of them was related to surgery. Conclusions: The results of the study showed that: a) the nature of the disease does not influence the outcome of laparoscopic splenectomy, b) the size of the spleen might increase the risk of conversion, but it is no longer a contraindication to laparoscopic splenectomy, and c) laparoscopic splenectomy can be effectively performed in the treatment of malignant hematologic diseases.

Original languageEnglish
Pages (from-to)229-232
Number of pages4
JournalTumori
Volume90
Issue number2
Publication statusPublished - Mar 2004

    Fingerprint

Keywords

  • Idiopathic thrombocytopenic purpura
  • Laparoscopic surgery
  • Lymphoma
  • Splenectomy
  • Splenomegaly

ASJC Scopus subject areas

  • Cancer Research

Cite this

Cavaliere, D., Torelli, P., Panaro, F., Casaccia, M., Ghinolfi, D., Santori, G., Rossi, E., Bacigalupo, A., & Valente, U. (2004). Outcome of laparoscopic splenectomy for malignant hematologic diseases. Tumori, 90(2), 229-232.