Laparoscopic splenectomy: how minimal can we make it?
نویسندگان
چکیده
Abstract Aims Laparoscopic splenectomy (LS) is routinely performed in children, however, a large spleen small child can pose significant operative challenges. We instigated highly standardised surgical and anaesthetic approach to LS minimise trauma enhance recovery. The aim of this study was assess the outcomes programme. Methods Prospective all LS’s 2018–2021. Surgical via one 10 mm three 5 ports. Early hilar control accomplished with Hem-o-loks. Splenic retrieval incision used finger morcellation within an Espiner EcoSac. Anaesthesia utilised regime agents bupivacaine infiltrated splenic bed wound sites. Post-operative opiates were minimised. Data are presented as median [IQR]. Results Twenty consecutive children included. Indications for hereditary spherocytosis ( n = 12), sickle cell disease 6), beta-thalassaemia 1) haemangiomatosis 1). Age at surgery 101 months [75–117] weight 30 kg [21–37]. size 13.4 cm [12–14.4]. Operative time 178 min [156–185]. There no open conversions intra or post-operative bleeding. One patient developed pancreatitis. Median pain score 1 [1–3]. length stay 2 days [2–3]. Conclusion feasible, safe efficient smaller spleens. This programme anaesthesia based around core team reliably results few complications, good analgesia short stay.
منابع مشابه
Commentary: how can we make diagnosis safer?.
Diagnostic errors are common and are a leading cause of patient dissatisfaction and malpractice suits. Because of its traditional heavy reliance on memory and lack of standardization, the diagnostic process is particularly error prone. A study by Zwaan and colleagues on diagnostic failures in treating dyspneic patients makes several important contributions: examining the process behind the diag...
متن کاملHow fast can we make interpreted Python?
Python is a popular dynamic language with a large part of its appeal coming from powerful libraries and extension modules. These augment the language and make it a productive environment for a wide variety of tasks, ranging from web development (Django) to numerical analysis (NumPy). Unfortunately, Python’s performance is quite poor when compared to modern implementations of languages such as L...
متن کاملData Literacy - What is it and how can we make it happen?
The preceding special issue of this journal highlighted the enormous potential of the growing open data movement for social change and sustainable development (Sharif and Van Schalkwyk 2016). Others have emphasised its potential for economic development (Iemma 2012; Stott 2014; Vickery 2011), transparency and accountability (Geiger and von Lucke 2012; Janssen 2011, 2012; Meijer, Curtin, and Hil...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of pediatric endoscopic surgery
سال: 2022
ISSN: ['2524-7883', '2524-7875']
DOI: https://doi.org/10.1007/s42804-021-00125-6