Laparoscopic splenectomy in children – а 25-years of experience


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Abstract

   Introduction. Currently, the most successful option for treating benign hematological diseases of the spleen in children is splenectomy.
   Material and methods. In the article, the authors present their 25-year clinical experience in performing laparoscopic splenectomy in children with various diseases of the spleen. They discuss different techniques for surgical treatment of spleen diseases, features of preoperative preparation, current literature data.
   Results. The accumulated experience in laparoscopic surgeries for spleen removal, application of modern electrosurgical equipment and instruments for extracting tissues from the abdominal cavity have significantly reduced surgical time, improved cosmetic outcomes and quality of life of patients in the postoperative period. Somatostatin, prescribed right before the surgery and at the early postoperative period, prevents development of pancreatitis and erosive bleeding from the stump of the spleen pedicle in the vast majority of patients.
   Conclusion. The obtained catamnestic data demonstrate that laparoscopic surgery for spleen removal has its advantages. It is a safe, little-traumatic, effective and cosmetically good option for surgical spleen management in children.

About the authors

I. V. Poddubnyj

Scientific and Clinical Center for Children and Adolescents, FMBA; Yevdokimov Moscow State University of Medicine and Dentistry

Email: fake@neicon.ru
ORCID iD: 0000-0002-9077-6990

115409

127473

Moscow

Russian Federation

K. N. Tolstov

Scientific and Clinical Center for Children and Adolescents, FMBA; Yevdokimov Moscow State University of Medicine and Dentistry

Author for correspondence.
Email: kntolstov@gmail.com
ORCID iD: 0000-0003-2412-414X

Kirill N. Tolstov, head of department

department of pediatric surgery

115409

127473

Moscow

Russian Federation

V. O. Trunov

Scientific and Clinical Center for Children and Adolescents, FMBA

Email: fake@neicon.ru
ORCID iD: 0000-0002-7568-4297

115409

Moscow

Russian Federation

M. Yu. Kozlov

Morozovskaya Children's City Clinical Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0002-9797-640X

119049

Moscow

Russian Federation

E. V. Fedorova

Scientific and Clinical Center for Children and Adolescents, FMBA; Yevdokimov Moscow State University of Medicine and Dentistry

Email: fake@neicon.ru
ORCID iD: 0000-0002-5824-4732

115409

Moscow

Russian Federation

M. M. Khanov

Scientific and Clinical Center for Children and Adolescents, FMBA

Email: fake@neicon.ru
ORCID iD: 0000-0003-3354-5018

115409

Moscow

Russian Federation

A. S. Malashenko

Scientific and Clinical Center for Children and Adolescents, FMBA

Email: fake@neicon.ru
ORCID iD: 0000-0001-8167-5939

115409

Moscow

Russian Federation

A. O. Mager

Scientific and Clinical Center for Children and Adolescents, FMBA; Yevdokimov Moscow State University of Medicine and Dentistry

Email: fake@neicon.ru
ORCID iD: 0000-0002-2498-0184

115409

127473

Moscow

Russian Federation

A. S. Ranshakov

Scientific and Clinical Center for Children and Adolescents, FMBA; Yevdokimov Moscow State University of Medicine and Dentistry

Email: fake@neicon.ru
ORCID iD: 0000-0002-9431-3395

115409

127473

Moscow

Russian Federation

V. V. Sytkov

Yevdokimov Moscow State University of Medicine and Dentistry

Email: fake@neicon.ru
ORCID iD: 0000-0001-6152-5693

127473

Moscow

Russian Federation

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