Pediatric laparoscopic splenectomy: A 10-year single-center retrospective study Observational Study

Abstract

Introduction: Splenectomy is a standardized treatment in children with thrombocytopenia. In this manner, the laparoscopic method minimizes post-operative complications and its application has become widespread in the scientific community. The objective of this study was to describe the practice and usefulness of laparoscopic splenectomy in children with hematological pathology.

Methods: This retrospective, observational study was conducted at the Baca Ortiz Pediatric Hospital. We reviewed the medical records from the past 10 years of patients with an indication for surgical splenectomy. Demographic, clinical and outcome variables were analyzed using descriptive statistics.

Results: Fourteen patients who had undergone laparoscopic splenectomy were included in the study. Most of these patients were female with hematological pathologies such as spherocytosis and idiopathic thrombocytopenic purpura (ITP). In 50% of the cases, cholecystectomy was performed in addition to splenectomy. The surgical time ranged from 60 to 120 minutes.

Conclusions: Laparoscopic splenectomy is considered a complex technique within laparoscopic procedures, but it is ideal for patients with hematological pathology; thus, it should be the technique of choice. The advantages of laparoscopic splenectomy include shorter recovery time and hospitalization along with smaller surgical wounds.