caa a22 4500 475778979 CHVBK 20180406123638.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s004640000152 doi (NATIONALLICENCE)springer-10.1007/s004640000152 Pediatric laparoscopic splenectomy [Elektronische Daten] [A. Park, B. T. Heniford, A. Hebra, P. Fitzgerald] Background: Lateral laparoscopic splenectomy in adults, first reported in 1991, was begun with children in 1993. Methods: The authors reviewed records of 59 patients 2 to 17 years old who underwent laparoscopic splenectomy by the lateral approach between 1994 and 1998 at four medical centers. Patients received prophylactic penicillin or vaccinations preoperatively. Results: Of the 59 patients, 51 required splenectomy for one of the following conditions: idiopathic thrombocytopenic purpura, hereditary spherocytosis, or sickle-cell disease. Splenomegaly was found in 86% of the patients, and ten accessory spleens were resected. No deaths or infection occurred, and only three patients had perioperative complications: acute chest crisis, small diaphragmatic injury, and intraoperative hemorrhage. One operation was converted to a minilaparatomy because of difficulty with specimen extraction. Conclusions: Pediatric laparoscopic splenectomy is safe and effective, resulting in little blood loss, rapid recovery, and a good cosmetic outcome. Springer-Verlag New York Inc., 2000 Key words: Laparoscopy — Pediatric — Purpura — Sickle-cell disease — Spherocytosis — Splenectomy nationallicence Park A. Department of Surgery, General Surgery Division, University of Kentucky Chandler Medical Center, 800 Rose Street, Lexington, KY 40536-0298, USA, US aut Heniford B. T. Carolinas Medical Center, Charlotte, NC, USA, US aut Hebra A. Medical University of South Carolina, Charleston, SC, USA, US aut Fitzgerald P. McMaster University, Hamilton, Ontario, Canada, CA aut Surgical Endoscopy Springer-Verlag 14/6(2000-06-01), 527-531 0930-2794 14:6<527 2000 14 464 https://doi.org/10.1007/s004640000152 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000152 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Park A. Department of Surgery, General Surgery Division, University of Kentucky Chandler Medical Center, 800 Rose Street, Lexington, KY 40536-0298, USA, US aut NATIONALLICENCE 700 1- Heniford B. T. Carolinas Medical Center, Charlotte, NC, USA, US aut NATIONALLICENCE 700 1- Hebra A. Medical University of South Carolina, Charleston, SC, USA, US aut NATIONALLICENCE 700 1- Fitzgerald P. McMaster University, Hamilton, Ontario, Canada, CA aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/6(2000-06-01), 527-531 0930-2794 14:6<527 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer