Laparoscopic versus open splenectomy in children: A comparative study with an extended description of the surgical techniques

Objective: The aim of this study is to compare and present our patients who underwent open splenectomy (OS) and laparoscopic splenectomy (LS).Materials and methods: This research study incorporated patients who underwent splenectomy who were admitted to the Basaksehir cam and Sakura Training and Research Hospital, Department of Pediatric Surgery, between January 2022, and April 2023. The study included a total of 48 patients who underwent splenectomy. The patients were divided into two groups: Group 1 LS (n=21) and Group 2 OS (n=27). Mentioned data were compared between groups.Results: The study included a total of 48 patients. Out of the participants, 66.7% were male. Hematological diseases were observed in 35 patients (72.9%). hematological diseases. The surgical technique employed for splenectomy was laparoscopic in 21 cases (43.8%) and open in 27 cases (56.3%). Age, gender, and Spleen size were found to be similar between the groups (p>0.05). Regarding cholelithiasis, the laparoscopic group had a higher prevalence of 86% (n=12) compared to 31% (n=5) in the open group (p=0.003). Similarly, the rate of cholecystectomy was higher in the laparoscopic group (60%, n=12) compared to the open group (22%, n=6) (p=0.008). The distribution of diseases showed a significant difference between the two groups (p<0.001).Conclusions: Compared to open surgery, laparoscopic splenectomy is a feasible method in terms of performing both surgeries together if the patient has gallbladder stones simultaneously