Italian multicentric survey on laparoscopic spleen surgery in the pediatric population

Giuseppe Li Voti, Scalisi, Pini Prato, Garzi, Porreca, Giovanna Riccipetitoni, Cheli, Vincenzo Jasonni, Girolamo Mattioli, Ciro Esposito, Rizzo, Mastroianni, Stefano Avanzini, Buluggiu, Boeri

    Risultato della ricerca: Article

    12 Citazioni (Scopus)

    Abstract

    Abstract Background: Some technical aspects of laparoscopic spleen surgery still are debated, although efforts have been made to standardize them. The position of the patient, the approach to the spleen, vessel identification and division, and spleen extraction can vary from center to center. Methods: This retrospective muticentric study led by the Societa` Italiana di Videochirurgia Infantile (SIVI) examined indications, surgical details, and complications of laparoscopic spleen surgery in the pediatric population during a 5-year period. Results: The study period from January 1999 to December 2003 (5 years) involved nine centers and included 85 patients with a mean age of 10 years (range, 2– 17 years). Hypersplenism or severe hemolysis in cases of hematologic disorders represented the most important indications. More than 90% of the patients underwent total laparoscopic splenectomy. Specific technical details from each center were collected. Intraoperative complications occurred in 19% of the patients (hemorrhage in 8% and technical problems in 14%), and 6% of the patients required conversion to the open approach. No deaths occurred, and no reoperations were required. Postoperative complications were experienced by 2% of the patients. Conclusion: Laparoscopic spleen surgery is safe, reliable, and effective in the pediatric population. On the basis of the results, some technical details for laparoscopic spleen surgery can be suggested. The patient is preferably kept supine or lateral, approaching the spleen anteriorly. Moreover, the ilar vessels should be identified selectively and individually, with initial artery division performed to achieve spleen shrinking. Any hemostatic device proved to be effective in experienced hands. Once freed, the spleen is preferably extracted via a suprapubic cosmetic transverse incision (faster, easier, and safer), although a bag can be used. Finally, the size of the spleen does not represent a contraindication for a trained and experienced surgeon. Nevertheless, this parameter must be considered
    Lingua originaleEnglish
    pagine (da-a)527-531
    Numero di pagine5
    RivistaSurgical Endoscopy
    Volume21
    Stato di pubblicazionePublished - 2007

    Fingerprint

    Laparoscopy
    Spleen
    Population
    Hypersplenism
    Splenectomy
    Hemolysis
    Surveys and Questionnaires
    Reoperation
    Cosmetics
    Retrospective Studies
    Arteries
    Pediatrics
    Hemorrhage
    Equipment and Supplies

    All Science Journal Classification (ASJC) codes

    • Surgery

    Cita questo

    Li Voti, G., Scalisi, Pini Prato, Garzi, Porreca, Riccipetitoni, G., ... Boeri (2007). Italian multicentric survey on laparoscopic spleen surgery in the pediatric population. Surgical Endoscopy, 21, 527-531.

    Italian multicentric survey on laparoscopic spleen surgery in the pediatric population. / Li Voti, Giuseppe; Scalisi; Pini Prato; Garzi; Porreca; Riccipetitoni, Giovanna; Cheli; Jasonni, Vincenzo; Mattioli, Girolamo; Esposito, Ciro; Rizzo; Mastroianni; Avanzini, Stefano; Buluggiu; Boeri.

    In: Surgical Endoscopy, Vol. 21, 2007, pag. 527-531.

    Risultato della ricerca: Article

    Li Voti, G, Scalisi, Pini Prato, Garzi, Porreca, Riccipetitoni, G, Cheli, Jasonni, V, Mattioli, G, Esposito, C, Rizzo, Mastroianni, Avanzini, S, Buluggiu & Boeri 2007, 'Italian multicentric survey on laparoscopic spleen surgery in the pediatric population', Surgical Endoscopy, vol. 21, pagg. 527-531.
    Li Voti G, Scalisi, Pini Prato, Garzi, Porreca, Riccipetitoni G e altri. Italian multicentric survey on laparoscopic spleen surgery in the pediatric population. Surgical Endoscopy. 2007;21:527-531.
    Li Voti, Giuseppe ; Scalisi ; Pini Prato ; Garzi ; Porreca ; Riccipetitoni, Giovanna ; Cheli ; Jasonni, Vincenzo ; Mattioli, Girolamo ; Esposito, Ciro ; Rizzo ; Mastroianni ; Avanzini, Stefano ; Buluggiu ; Boeri. / Italian multicentric survey on laparoscopic spleen surgery in the pediatric population. In: Surgical Endoscopy. 2007 ; Vol. 21. pagg. 527-531.
    @article{ca22fe8275aa4b7792058bb69ad9f310,
    title = "Italian multicentric survey on laparoscopic spleen surgery in the pediatric population",
    abstract = "Abstract Background: Some technical aspects of laparoscopic spleen surgery still are debated, although efforts have been made to standardize them. The position of the patient, the approach to the spleen, vessel identification and division, and spleen extraction can vary from center to center. Methods: This retrospective muticentric study led by the Societa` Italiana di Videochirurgia Infantile (SIVI) examined indications, surgical details, and complications of laparoscopic spleen surgery in the pediatric population during a 5-year period. Results: The study period from January 1999 to December 2003 (5 years) involved nine centers and included 85 patients with a mean age of 10 years (range, 2– 17 years). Hypersplenism or severe hemolysis in cases of hematologic disorders represented the most important indications. More than 90{\%} of the patients underwent total laparoscopic splenectomy. Specific technical details from each center were collected. Intraoperative complications occurred in 19{\%} of the patients (hemorrhage in 8{\%} and technical problems in 14{\%}), and 6{\%} of the patients required conversion to the open approach. No deaths occurred, and no reoperations were required. Postoperative complications were experienced by 2{\%} of the patients. Conclusion: Laparoscopic spleen surgery is safe, reliable, and effective in the pediatric population. On the basis of the results, some technical details for laparoscopic spleen surgery can be suggested. The patient is preferably kept supine or lateral, approaching the spleen anteriorly. Moreover, the ilar vessels should be identified selectively and individually, with initial artery division performed to achieve spleen shrinking. Any hemostatic device proved to be effective in experienced hands. Once freed, the spleen is preferably extracted via a suprapubic cosmetic transverse incision (faster, easier, and safer), although a bag can be used. Finally, the size of the spleen does not represent a contraindication for a trained and experienced surgeon. Nevertheless, this parameter must be considered",
    keywords = "Complications — Fenestration — Laparoscopic splenectomy — Multicentric survey — Spleen —technical details",
    author = "{Li Voti}, Giuseppe and Scalisi and {Pini Prato} and Garzi and Porreca and Giovanna Riccipetitoni and Cheli and Vincenzo Jasonni and Girolamo Mattioli and Ciro Esposito and Rizzo and Mastroianni and Stefano Avanzini and Buluggiu and Boeri",
    year = "2007",
    language = "English",
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    pages = "527--531",
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    TY - JOUR

    T1 - Italian multicentric survey on laparoscopic spleen surgery in the pediatric population

    AU - Li Voti, Giuseppe

    AU - Scalisi, null

    AU - Pini Prato, null

    AU - Garzi, null

    AU - Porreca, null

    AU - Riccipetitoni, Giovanna

    AU - Cheli, null

    AU - Jasonni, Vincenzo

    AU - Mattioli, Girolamo

    AU - Esposito, Ciro

    AU - Rizzo, null

    AU - Mastroianni, null

    AU - Avanzini, Stefano

    AU - Buluggiu, null

    AU - Boeri, null

    PY - 2007

    Y1 - 2007

    N2 - Abstract Background: Some technical aspects of laparoscopic spleen surgery still are debated, although efforts have been made to standardize them. The position of the patient, the approach to the spleen, vessel identification and division, and spleen extraction can vary from center to center. Methods: This retrospective muticentric study led by the Societa` Italiana di Videochirurgia Infantile (SIVI) examined indications, surgical details, and complications of laparoscopic spleen surgery in the pediatric population during a 5-year period. Results: The study period from January 1999 to December 2003 (5 years) involved nine centers and included 85 patients with a mean age of 10 years (range, 2– 17 years). Hypersplenism or severe hemolysis in cases of hematologic disorders represented the most important indications. More than 90% of the patients underwent total laparoscopic splenectomy. Specific technical details from each center were collected. Intraoperative complications occurred in 19% of the patients (hemorrhage in 8% and technical problems in 14%), and 6% of the patients required conversion to the open approach. No deaths occurred, and no reoperations were required. Postoperative complications were experienced by 2% of the patients. Conclusion: Laparoscopic spleen surgery is safe, reliable, and effective in the pediatric population. On the basis of the results, some technical details for laparoscopic spleen surgery can be suggested. The patient is preferably kept supine or lateral, approaching the spleen anteriorly. Moreover, the ilar vessels should be identified selectively and individually, with initial artery division performed to achieve spleen shrinking. Any hemostatic device proved to be effective in experienced hands. Once freed, the spleen is preferably extracted via a suprapubic cosmetic transverse incision (faster, easier, and safer), although a bag can be used. Finally, the size of the spleen does not represent a contraindication for a trained and experienced surgeon. Nevertheless, this parameter must be considered

    AB - Abstract Background: Some technical aspects of laparoscopic spleen surgery still are debated, although efforts have been made to standardize them. The position of the patient, the approach to the spleen, vessel identification and division, and spleen extraction can vary from center to center. Methods: This retrospective muticentric study led by the Societa` Italiana di Videochirurgia Infantile (SIVI) examined indications, surgical details, and complications of laparoscopic spleen surgery in the pediatric population during a 5-year period. Results: The study period from January 1999 to December 2003 (5 years) involved nine centers and included 85 patients with a mean age of 10 years (range, 2– 17 years). Hypersplenism or severe hemolysis in cases of hematologic disorders represented the most important indications. More than 90% of the patients underwent total laparoscopic splenectomy. Specific technical details from each center were collected. Intraoperative complications occurred in 19% of the patients (hemorrhage in 8% and technical problems in 14%), and 6% of the patients required conversion to the open approach. No deaths occurred, and no reoperations were required. Postoperative complications were experienced by 2% of the patients. Conclusion: Laparoscopic spleen surgery is safe, reliable, and effective in the pediatric population. On the basis of the results, some technical details for laparoscopic spleen surgery can be suggested. The patient is preferably kept supine or lateral, approaching the spleen anteriorly. Moreover, the ilar vessels should be identified selectively and individually, with initial artery division performed to achieve spleen shrinking. Any hemostatic device proved to be effective in experienced hands. Once freed, the spleen is preferably extracted via a suprapubic cosmetic transverse incision (faster, easier, and safer), although a bag can be used. Finally, the size of the spleen does not represent a contraindication for a trained and experienced surgeon. Nevertheless, this parameter must be considered

    KW - Complications — Fenestration — Laparoscopic splenectomy — Multicentric survey — Spleen —technical details

    UR - http://hdl.handle.net/10447/61446

    M3 - Article

    VL - 21

    SP - 527

    EP - 531

    JO - Surgical Endoscopy and Other Interventional Techniques

    JF - Surgical Endoscopy and Other Interventional Techniques

    SN - 0930-2794

    ER -