Laparoscopic splenectomy for splenic littoral cell angioma
摘要
AIM To establish the safety and feasibility oflaparoscopic splenectomy （LS） for littoral cell angioma（LCA）.METHODS： From September 2003 to November 2013,27 patients were diagnosed with LCA in our institution.These patients were divided into two groups basedon operative procedure： LS （13 cases, Group 1） andopen splenectomy （14 cases, Group 2）. Data werecollected retrospectively by chart review. Comparisonswere performed between the two groups in terms ofdemographic characteristics （sex and age）; operativeoutcomes （operative time, estimated blood loss,transfusion, and conversion）; postoperative details（length of postoperative stay and complications）; andfollow-up outcome.RESULTS： LS was successfully carried out in all patientsexcept one in Group 1, who required conversion tohand-assisted LS because of perisplenic adhesions.The average operative time for patients in Group 1 wassignificantly shorter than that in Group 2 （127 ± 34 minvs 177 ± 25 min, P = 0.001）. The average estimatedblood loss in Group 1 was significantly lower than inGroup 2 （62 ± 48 mL vs 138 ± 64 mL, P 〈 0.01）.No patient in Group 1 required a blood transfusion,whereas one in Group 2 required a transfusion. Twopatients in Group 1 and four in Group 2 suffered frompostoperative complications. All the complications werecured by conservative therapy. There were no deathsin our series. All patients were followed up and norecurrence or abdominal metastasis were found.CONCLUSION： LS for patients with LCA is safe andfeasible, with preferable operative outcomes and longtermtumor-free survival.