| dc.description.abstract | In paediatric population, the
laparoscopic splenectomy has been preferred to the open
surgery during the last years. Due to the improvement of
the technique and the devices, the indications to the
laparoscopic splenectomy have been increased, even
though there is still a variety of conditions in which the
execution of this technique is arduous. During the
preoperative consult there is the need to carefully
evaluate the existence of cholecystic lithiasis, the
haemoglobin level in patients with SCA, platelet count in
children with ITP and the vaccination status. An anterior
and a lateral or hanging spleen approach are primarily
used for laparoscopic splenectomy. In the last four years,
near the Section of Pediatric Surgery of the Department
of Pediatrics, Obstetrics and Medicine of the
Reproduction of Siena University, 8 cases of
splenomegaly have been treated, 7 by lateral
videolaparoscopic splenectomy (5 males and 2 females,
with medium age of 10,5 years) and 1 by anterior
approach (10 years).
The advantages shown by these techniques
allow the laparoscopic splenectomy to be considered as
a valid alternative to the open surgery. In children’s
laparoscopic splenectomy, the rate of complications is
considerably low and the the major problem is the
intraoperative hemorrhage. With increasing surgical
experience, the minimally invasive approach appears to
be superior in terms of faster postoperative recovery,
shorter hospital stay, perioperative and postoperative
advantages. Therefore, the laparoscopic technique may
soon be accepted as the standard method in patients
requiring splenectomy. | it_IT |
