Feasibility and Outcomes of Laparoscopic Splenectomy in Huge Splenomegaly

Background laparoscopic splenectomy is performed for massive. It reduces blood loss, wound related complications, less postoperative pain Aim: evaluation the feasibility and outcomes and lack of open technique’s complications in laparoscopic splenectomy. Methods: 30 patients with huge splenomegaly were admitted according to Inclusion criteria: patients aged (15 to 60), cases with portal hypertension, in patients with child A classification while Exclusion criteria Patients who were either contraindicated to laparoscopic surgery, had coagulopathy or cardiopulmonary disorders, or were undergoing splenectomy for trauma, bleeding varices, or incidental splenectomy during other significant procedures. All patients were assessed by demographic data collection, detailed history, complete clinical examination, routine laboratory and imaging studies. Results the operation time ranged from 101 to 210 min with a mean of 143.87± 31.82 min. The intraoperative blood loss ranged from 100 to 800 ml with mean of 430± 196.78 ml. Among the patients studied, 2 (6.67%) patients required blood transfusion and 3 (10%) patients underwent open conversion, The hospital stay ranged from 2 to 7 days with a mean of 4.23± 1.72 days. Regarding the complication, Chest infection occurred in 1 (3.33%) patient and pancreatic leakage occurred in 1 (3.33%) patient. Wound infection, portal of splenic vein thrombosis, postoperative bleeding and pleural effusion were not reported in any of the studied patients. Conclusion: Laparoscopic splenectomy is a safe and feasible procedure that is associated with a reduced risk of postoperative complications, a shorter hospital stay, and less intraoperative blood loss than open splenectomy for large splenomegaly.