Abstract
Background: Based on research activities and clinical practice at Nghe An Friendship General Hospital, we conducted this study to evaluate the outcomes of laparoscopic splenectomy using Hem-O-Lok clips at our institution.
Introduction: A retrospective, cross-sectional study on 38 patients who underwent laparoscopic splenectomy at the Nghe An General Friendship Hospital from January 2020 to January 2025.
Methods: A retrospective, cross-sectional study on 38 patients who underwent laparoscopic splenectomy at the Nghe An General Friendship Hospital from January 2020 to January 2025.
Results: There were 38 patients, including 27 males (71%) and 11 females (29%), with an average age of 39.5 ± 10.2 years (range 18 - 65 years). The the main indications for splenectomy included hematologic disorders (34.2%), splenic tumors (34.2%), and splenic cysts (21.1%). The success rate of the surgery was 36 cases (94.7%), with total splenectomy performed in 33 cases (86.8%) and splenectomy with accessory spleen removal in 3 cases (7.9%). Splenic artery control at the splenic hilum was achieved in 12 cases (33.3%). Postoperative complications were observed in 5 cases (13.2%), including wound infection, pancreatic fistula, and splenic vein thrombosis. Good outcomes were achieved in 86.1% of patients, with no poor outcomes recorded.
Conclusion: Laparoscopic splenectomy for the treatment of hematopoietic disorders and intrinsic diseases of the spleen is a safe method with a high success rate. The use of Hem-O-Lok instead of staplers for vascular control helps reduce surgical costs while still providing good outcomes for patients.
| Published | 2025-08-30 | |
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| Issue | Vol. 15 No. 4 (2025) | |
| Section | Case Reports | |
| DOI | 10.34071/jmp.2025.4.21 | |
| Keywords | Laparoscopic splenectomy, Hem-O-Lok clips, splenic pedicle control, splenic surgery outcomes |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Hue Journal of Medicine and Pharmacy
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