# Comparison of Perioperative Results of Single Port Laparoscopic, Multiple Port Laparoscopic and Open Splenectomy in Patients with Non-Traumatic Splenic Diseases: Clinical Retrospective Trial

## Authors

- Erkan Guler ([ORCID](https://orcid.org/0000-0003-0881-1003)) — Mersin University Hospital, Faculty of Medicine, Department of General Surgery, Mersin, Turkey
- Taylan Ozgur Sezer ([ORCID](https://orcid.org/0000-0001-9030-6561)) — Ege University Hospital, Faculty of Medicine, Department of General Surgery, Izmir, Turkey
- Muhtar Sinan Ersin ([ORCID](https://orcid.org/0000-0003-4263-1727)) — Ege University Hospital, Faculty of Medicine, Department of General Surgery, Izmir, Turkey
- Ozgur Firat ([ORCID](https://orcid.org/0000-0002-9683-8945)) — Ege University Hospital, Faculty of Medicine, Department of General Surgery, Izmir, Turkey

## Article information

- **Journal:** The Ulutas Medical Journal (Ulutas Med J), ISSN 2149-388X
- **Issue:** Volume 7, Issue 3 (2021), pages 181–187
- **Article type:** Original Article
- **Published online:** 2021-09-26
- **DOI:** [10.5455/umj.20210702102448](https://doi.org/10.5455/umj.20210702102448)
- **Licence:** [CC BY-NC 4.0](https://creativecommons.org/licenses/by-nc/4.0/)
- **Article page:** https://www.ulutasmedicaljournal.com/?mno=92432
- **PDF:** https://www.ulutasmedicaljournal.com/pdf/92432.pdf

## Abstract

Introduction: The single-port laparoscopic splenectomy procedure is a brand new technique. Although it is reported that perioperative complications are less with conventional laparoscopy and open procedure, the number of studies comparing the perioperative outcomes of all three techniques is not high. This study compares the perioperative outcomes of these three splenectomy techniques in non-traumatic splenic diseases. Materials and Methods: Total number of 82 patients (aged 18-72 years ) who underwent splenectomy due to non-traumatic reasons between June 2011 and December 2016 in Ege University General Surgery Department were investigated, respectively. Patients were divided into three groups according to the procedure type, including single-port splenectomy (SILS), multiple port laparoscopic splenectomy (LS), open splenectomy (OS). Results: There was no significant difference in intraoperative bleeding and post-op complications between the three groups. Patients who underwent surgery due to ITP were respectively 26.4%, 91.2%, 80% in group 1,2 and 3 (P1 and p3>0.05). The mean operation times were respectively 81±17 min, 81±22 min, and 97±22 min in groups 1, 2, and 3 (p1 and p3>0.05, p2

## Keywords

Laparoscopic splenectomy; open splenectomy; single port splenectomy

## How to cite

Guler E, Sezer TO, Ersin MS, Firat O. Comparison of Perioperative Results of Single Port Laparoscopic, Multiple Port Laparoscopic and Open Splenectomy in Patients with Non-Traumatic Splenic Diseases: Clinical Retrospective Trial. Ulutas Med J. 2021;7(3):181-187. doi:10.5455/umj.20210702102448

## References

1. M. Rhodes, M. Rudd, N. O’Rourke, L. Nathanson, G. Fielding Laparoscopic splenectomy and and lymph node biopsy for hematologic disorders. Ann Surg, 1995, p43 https://doi.org/10.1097/00000658-199507000-00007
2. PK Chowbey, A Goel, R Panse. Laparoscopic splenectomy for hematologic disorders: experience with the fifty patients. J Laparoendosc Adv Surg Tech A, 2005, p28 https://doi.org/10.1089/lap.2005.15.28
3. L Bresler, A Guerci, L Brunaud. Laparoscopic splenectomy for idiopathic thrombocytopenic purpura: outcome and long-term results. World J Surg, 2002, p111 https://doi.org/10.1007/s00268-001-0190-5
4. CJ Pattenden, CD Mann, MS Metcalfe, M Dyer, DM Lloyd Laparoscopic splenectomy: a personal series of 140 consecutive cases. Ann R Coll Surg Engl, 92 (2010), p.398 https://doi.org/10.1308/003588410x12664192076133
5. BH Kye, IS Park, JG Kim. Laparoscopic splenectomy: 3 ports are enough. Surg Laparosc Endosc Percutan Tech, 2010, p104 https://doi.org/10.1097/sle.0b013e3181d7e63d
6. Y Wang, X Zhan, Y Zhu, Z Xie, J Zhu, Z Ye. Laparoscopic splenectomy in portal hypertension: a single-surgeon 13-year experience.Surg Endosc, 2010, p1164 https://doi.org/10.1007/s00464-009-0744-4
7. A Carobbi, F Romagnani, G Antonelli, M Bianchini Laparoscopic splenectomy for severe blunt trauma: initial experience of ten consecutive cases with a fast hemostatic technique. Surg Endosc,2010, p1325 https://doi.org/10.1007/s00464-009-0768-9
8. RK Sotomayor-Ramírez. Efficacy and safety of laparoscopic splenectomy: review of 14 adult cases using the lateral approach. Bol Asoc Med P R, 2009, p43
9. CF Maurus, M Schäfer, MK Müller. Laparoscopic versus open splenectomy for nontraumatic diseases. World J Surg, 2008, p2444 https://doi.org/10.1007/s00268-008-9727-1
10. U Barbaros, A Dinççağ. Single incision laparoscopic splenec tomy: two cases. J Gastrointest Surg, 2009, p1520 https://doi.org/10.1007/s11605-009-0869-8
11. Lian L, Kalady M, Geisler D, Kiran RP. Laparoscopic colectomy is safe and leads to a significantly shorter hospital stay for octogenarians. Surg Endosc. 2010;24:2039–2043 https://doi.org/10.1007/s00464-010-0900-x
12. Ahn SH, Son SY, Jung DH, Park DJ, Kim HH. Pure single-port laparoscopic distal gastrectomy for early gastric cancer: comparative study with multi-port laparoscopic distal gastrectomy. J Am Coll Surg. 2014;219:933– 943 https://doi.org/10.1016/j.jamcollsurg.2014.07.009
13. Maluenda F, Leon J, Csendes A, Burdiles P, Giordano J, Molina M. Single-incision laparoscopic sleeve gastrectomy: initial experience in 20 patients and 2-year follow-up. Eur Surg. 2014;46:32–37 https://doi.org/10.1007/s10353-013-0246-4
14. Shetty GS, You YK, Choi HJ, Na GH, Hong TH, Kim DG. Extending the limitations of liver surgery: outcomes of initial human experience in a high-volume center performing single-port laparoscopic liver resection for hepatocellular carcinoma. Surg Endosc. 2012;26:1602–1608 https://doi.org/10.1007/s00464-011-2077-3
15. R Lagrand, F Kehdy. Laparoendoscopic single site splenec tomy Am Surg, 2010, pE15 https://doi.org/10.1177/000313481007600906
16. Malladi, E. Hungness, A. Nagle Single access laparoscopic splenectomy JSLS, 2009, p601 https://doi.org/10.4293/108680809x12589999538039
17. S Dutta. Early experience with single incision laparoscopic surgery: eliminating the scar from abdominal operations J Pediatr Surg, 2009, p1741 https://doi.org/10.1016/j.jpedsurg.2008.12.024
18. R Bell, T Boswell, T Hui, W Su. Single-incision laparoscopic splenectomy in children J Pediatr Surg,2012, p898 https://doi.org/10.1016/j.jpedsurg.2012.01.043
19. KK Choi, MJ Kim, H Park, DW Choi, SH Choi, JS Heo. Single-incision laparoscopic splenectomy versus conventional multiport laparoscopic splenectomy: retrospective compari-son of outcomes Surg Innov, 2013, p.40 https://doi.org/10.1177/1553350612443898
20. Jiang, Chen; Rui, Ma; Shouzhang, Yang; Shuang, Lin; Shilin, He; Xiujun, Cai Perioperative outcomes of laparoscopic versus open splenectomy for nontraumatic diseases: a meta-analysis. Chin Med J (Engl). 2014;127(13):2504-10 https://doi.org/10.3760/cma.j.issn.0366-6999.20132560
21. Eui Soo Han, Young Kyoung You,corresponding author Dong Goo Kim, Jun Suh Lee, Eun Young Kim, Soo Ho Lee, Tae Ho Hong, and Gun Hyung Na Clinical significance of single-port laparoscopic splenectomy: comparison of single-port and multiport laparoscopic procedure Ann Surg Treat Res. 2015; 89(2):55– 60 https://doi.org/10.4174/astr.2015.89.2.55
