Laparoscopic splenectomy: Clip ligation or en-bloc stapling?

dc.contributor.authorTürkoǧlu, Ahmet
dc.contributor.authorOǧuz, Abdullah
dc.contributor.authorYaman, Gizem
dc.contributor.authorGül, Mesut
dc.contributor.authorÜlger, Burak Veli
dc.date.accessioned2021-09-27T06:53:43Z
dc.date.available2021-09-27T06:53:43Z
dc.date.issued2019en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalıen_US
dc.description.abstractObjective: Various techniques are used in the management of splenic hilum during laparoscopic splenectomy. Among them, the most used ones are polymer clips, en-bloc stapling and ultrasonic devices. To the best of our knowledge, there is no study in the literature comparing the results of clip and stapler techniques. This study was aimed to compare our results of clip ligation and en-bloc stapling of the splenic hilum. Material and Methods: The records of 67 patients undergoing laparoscopic splenectomy between December 2012 and October 2017 were reviewed. Patients were divided into two groups according to surgical method (stapler group: 26 patients and clip group: 41 patients). Patient age, sex, diagnosis, surgical technique, operation time, spleen dimensions, perioperative complications, postoperative hospital stay, blood transfusions, postoperative thrombocyte and hemoglobin levels were recorded. Results: Operating time was median 115 min (75-230) in the stapler group and 120 min (60-210) in the clip group, and there was no significant difference between the groups (p= 0.2593). There were no significant difference between the groups in terms of the postoperative complications (p= 0.59). Postoperative hospital stay was median 3.5 (2-8) days in the stapler group and 3 (2-6) days in the clip group with no significant difference (p= 0.0733). Conclusion: Clip ligation and en-bloc stapling techniques have no superiority over each other. Our results also showed that both techniques are safe and feasible. We suggest opting for the method according to the surgeon’s experience and hospital facilities.en_US
dc.identifier.citationTürkoǧlu, A., Oǧuz, A., Yaman, G., Gül, M. ve Ülger, B. V. (2019). Laparoscopic splenectomy: Clip ligation or en-bloc stapling?. Turkish Journal of Surgery, 35(4), 273-277.en_US
dc.identifier.doi10.5578/turkjsurg.4276
dc.identifier.endpage277en_US
dc.identifier.issn2564-6850
dc.identifier.issue4en_US
dc.identifier.pmid32551423
dc.identifier.scopus2-s2.0-85078639319
dc.identifier.scopusqualityQ3
dc.identifier.startpage273en_US
dc.identifier.trdizinid341240
dc.identifier.urihttps://turkjsurg.com/full-text/1677/eng
dc.identifier.urihttps://hdl.handle.net/11468/7772
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/341240
dc.identifier.volume35en_US
dc.identifier.wosWOS:000510646300007
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorTürkoǧlu, Ahmet
dc.institutionauthorOǧuz, Abdullah
dc.institutionauthorYaman, Gizem
dc.institutionauthorGül, Mesut
dc.institutionauthorÜlger, Burak Veli
dc.language.isoenen_US
dc.publisherBilimsel Tip Yayinevien_US
dc.relation.ispartofTurkish Journal of Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectClip ligationen_US
dc.subjectEn-bloc staplingen_US
dc.subjectLaparoscopic splenectomyen_US
dc.titleLaparoscopic splenectomy: Clip ligation or en-bloc stapling?en_US
dc.titleLaparoscopic splenectomy: Clip ligation or en-bloc stapling?
dc.typeArticleen_US

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