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Abstract
Purpose: To show the utility of laparoscopic splenectomy for hematologic diseases.
Patients and Methods: Ten patients with hematologic diseases who were operated between February 1997 and October
1998 were analysed retrospectively.
Technique: The operations were performed by four trocars, hilar vessels were divided by clips and bag was used for splenic retrival.
Results: All operations were completed successfully. No accessory spleens were found. Intraoperative complication, other than a bag tear in one operation did not occur. Postoperative complications occurred in two patients. The first one was a portal vein thrombosis and the second one was a peritonitis. All patients responded hematologically to the operation.
Conclusion: With appropriate surgical technique and patient follow up, laparoscopic splenectomy is a safe, adventa-geous and efficaceus operation for hematologic diseases.
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Notes on contributors
D. Karakoc
Derya Karakoc. Ivedik caddesi, 107/38. TuR-06200 Yenimahalle, Ankara, Turkey.