Comparison Of Open And Laparascopic Splenectomy In Elective Cases

Purpose: The aim of this study was to compare open splenectomy (OS) and laparoscopic splenectomy (LS) in patients undergoing elective splenectomy.Materials and Methods: The study included 95 patients who underwent elective splenectomy between January 1, 2013 and January 1, 2018 in the Department of General Surgery, Faculty of Medicine, cukurova University. Demographic information, etiology, duration of operation, amount of blood loss and preoperative spleen size were measured. The necessity to switch from laparoscopic surgery to open surgery, duration of hospitalization, postoperative blood products replacement and postoperative complications were examined.Results: A total of 95 patients, 79% (n=75) who underwent OS, and 21% (n=20) who underwent LS were included in our study. The mean age in the study group was 43.0 +/- 17 (18-78) for OS and 39.3 +/- 13.9 in LS (1962). Of the patients who underwent OS, 31 were male (41.3%) and 44 were female (58.7%). Of the patients who underwent LS, 7 were male and 13 were female (65%). Of the 75 cases who underwent OS; 19 (25.3%) were treated for splenomegaly, 16 (21.3%) for immune thrombocytopenic purpura (ITP), 11 (14.7%) for a mass, and 7 (9.3%) cases were operated on for Thalassemia. Of the 20 cases who underwent LS; 12 (60%) cases were operated on for ITP, 3 (15%) cases for hemolytic anemia and 2 (10%) cases for lymphoma.The length of hospital stay, amount of bleeding and spleen size were superior in LS; while the duration of surgery was significantly higher in OS.Conclusion: LS is a stronger alternative to OS because of its lower complication rate, hospitalization time and cost.