World Journal of Surgery

, Volume 30, Issue 7, pp 1216–1220

Hand-assisted Laparoscopic Surgery with a Pfannenstiel Incision in β-Thalassemia Patients: Initial Experience

  • Emmanuel Leandros
  • Nicholas Alexakis
  • Konstadinos Albanopoulos
  • Dimitris Dardamanis
  • Markisia Karagiorga
  • Ilias Gomatos
  • Stefanos Papadopoulos
  • Christos Bacoyiannis
  • John Bramis
Article

DOI: 10.1007/s00268-005-0542-7

Cite this article as:
Leandros, E., Alexakis, N., Albanopoulos, K. et al. World J. Surg. (2006) 30: 1216. doi:10.1007/s00268-005-0542-7

Abstract

Introduction

β-Thalassemia patients have splenomegaly significant enough to require splenectomy; furthermore, these patients also often require concurrent procedures.

Methods

Between January and October 2005, seven patients with β-thalassemia underwent hand-assisted laparoscopic splenectomy with cholecystectomy, appendectomy, and liver biopsy with the hand-port device introduced through a Pfannenstiel incision.

Results

The median age of the patients was 28 years, and the median spleen length was 23 cm. The median operating time was 210 minutes; there were no conversions to an open procedure; and the median spleen weight was 1072 g. One major postoperative complication occurred. The median hospital stay was 6 days.

Conclusions

The proposed hand-assisted laparoscopic approach is safe and feasible. It provides a minimally invasive alternative that may become the treatment of choice in β-thalassemia patients who require concurrent operations.

Copyright information

© Société Internationale de Chirurgie 2006

Authors and Affiliations

  • Emmanuel Leandros
    • 1
  • Nicholas Alexakis
    • 1
    • 3
  • Konstadinos Albanopoulos
    • 1
  • Dimitris Dardamanis
    • 1
  • Markisia Karagiorga
    • 2
  • Ilias Gomatos
    • 1
  • Stefanos Papadopoulos
    • 1
  • Christos Bacoyiannis
    • 1
  • John Bramis
    • 1
  1. 1.First Department of Propedeutic SurgeryUniversity of Athens, Hippokration HospitalAthensGreece
  2. 2.Thalassemia UnitAg Sofia Children’s HospitalAthensGreece
  3. 3.AthensGreece