Hand-assisted Laparoscopic Surgery with a Pfannenstiel Incision in β-Thalassemia Patients: Initial Experience

Leandros, Emmanuel; Alexakis, Nicholas; Albanopoulos, Konstadinos; Dardamanis, Dimitris; Karagiorga, Markisia; Gomatos, Ilias; Papadopoulos, Stefanos; Bacoyiannis, Christos; Bramis, John
July 2006
World Journal of Surgery;Jul2006, Vol. 30 Issue 7, p1216
Academic Journal
Introduction: β-Thalassemia patients have splenomegaly significant enough to require splenectomy; furthermore, these patients also often require concurrent procedures. Methods: Between January and October 2005, seven patients with β-thalassemia underwent hand-assisted laparoscopic splenectomy with cholecystectomy, appendectomy, and liver biopsy with the hand-port device introduced through a Pfannenstiel incision. Results: The median age of the patients was 28 years, and the median spleen length was 23 cm. The median operating time was 210 minutes; there were no conversions to an open procedure; and the median spleen weight was 1072 g. One major postoperative complication occurred. The median hospital stay was 6 days. Conclusions: The proposed hand-assisted laparoscopic approach is safe and feasible. It provides a minimally invasive alternative that may become the treatment of choice in β-thalassemia patients who require concurrent operations.


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