Selection of surgical modality for massive splenomegaly in children

• DOI: 10.1007/s00464-023-10462-7
• Publication Date: 2023-10-05T19:01:57Z
• Authors: Yong Li; Congjun Wang; Weilong Chen; Chao Chen; Xianming Tang; Hong Wang; Jiabo Chen; Qiang Liu; Wei Li; Yanqiang Li; Peng Chen; Yige Luo; Cheng Su
• Keywords: Demographics

Abstract Background Laparoscopic splenectomy (LS), a treatment for both benign and malignant splenic diseases, can prove technically challenging in patients with massive splenomegaly. In particular, the optimal surgical modality treating splenomegaly children remains controversial. Methods The clinicopathologic data of 289 pediatric undergoing were studied retrospective analysis. Accordingly, classified into LS surgery group open (OS) group. laparoscopy cohort, they separated two subgroups according to method surgery: multi-incision laparoscopic (MILS) single-incision (SILS) groups, respectively. Patient demographics, clinical data, surgery, complications, postoperative recovery underwent Concurrently, we compared risk adverse outcomes utilizing univariable multivariable logistic regression. Results total operation time proved remarkably shorter OS contrast (149.87 ± 61.44 versus 188.20 52.51 min, P < 0.001). Relative group, exhibited lowered pain scores, bowel time, hospitalization ( No remarkable difference existed post-operation complications or mortality > 0.05). Nevertheless, duration was longer SILS than MILS (200 46.11 171.39 40.30 = 0.02). Meanwhile, operative displayed positive association length. Moreover, age, weight, height sick children. Splenic length an independent factor 0.001, OR 1.378). Conclusions For who tolerate prolonged anesthesia procedures, proves regimen. novel therapy which may be deemed substitutional approach