The splenectomy efficacy rising in surgical hematology
Objective. To rise the surgical treatment quantity in hematological patients.
Маterials and methods. Complex examination in 102 patients with the blood system diseases and splenectomy indicated was conducted. Special attention was drawn to comprehensive preoperative examination for the surgical access to spleen improvement. The surgical access for laparoscopic splenectomy changed, and stapler with ultrasound scalpel were applied while doing splenectomy.
Results. The splenectomy data obtained in hematological patients have shown, that the access choice depends upon many causes, which may be revealed preoperatively. The splenectomy method planning in accordance to ultrasonographic and CT-data, the surgical access tactics changing while laparoscopic splenectomy performance, intraoperative application of ultrasonography and stapler permits to improve the surgical treatment quality in hematological patients.
Conclusion. Ultrasonography and stapler play an important role while planning of the splenectomy method, permitting to prevent the conversion cases. The surgical access tactics changing while laparoscopic splenectomy performance, intraoperative combined application of ultrasonography and stapler while doing splenectomy prevents development of complications.
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