الفهرس 
Aim of work
Laparoscopic splenectomyOnly 14 pages are availabe for public view
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Abstract
The aim of this study is to make a comparison between anterior and
lateral approaches of laparoscopic splenectomy including operative time,
blood loss, operative complication, conversion to open surgery,
postoperative complications and postoperative length of stay.
It was a prospective randomized comparative study, conducted at
general surgery department in Menoufia University hospitals, included 20
patients with splenic pathology indicated for surgery, patients were divided
into two groups by closed envelope method:
group 1 including 10 patients underwent laparoscopic splenectomy
using anterior approach.
group 2 including 10 patients underwent laparoscopic splenectomy
using lateral approach.
The duration of the study was 4 years
Observational comparative checklist of the two groups were done based
on the following criteria:
Operative outcomes: operative time, blood loss, visceral or vascular
injury, and conversion to open surgery
Post-operative outcomes: post-operative hospital stay, bleeding and
complications such as: chest infection, wound infection, pancreatic
leak and acute gastric dilataion.
Data collected was scored, tabulated and statistically analyzed.
Summary
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In group 1:
Mean operative time of 149.5 ± 17.9 min.
Mean blood loss was 98.5 ± 19.6 ml with conversion to open surgery
in 2 patients 20 % of cases due to splenic injury.
Post-operative complications were recorded in 2 patients (20%) of
cases with a mean hospital stay of 3.1 ± 1.2 days.
In group 2:
Mean operative time of 131.7 ± 12.1 min.
Mean blood loss was 190 ± 163 ml with conversion to open surgery
in 1 patient 10 % of cases due to splenic injury.
Post-operative complications were recorded in 2 patients (20%) of
cases with a mean hospital stay of 2.7 ± 1 days.
Our results showed that were statistically significant associations
between type of procedure and both operative time and volume of blood loss.
On the contrary, there was no statistically significant association between
type of procedure and intraoperative complications or conversion to open
surgery due to splenic injury or hospital stay or post-operative complications