Evidence map›Paper›PMID 34188904›Full record

ArticleAnnals of medicine and surgery (2012)2021

Prognostic scoring system of laparoscopic splenectomy in children with benign hematological diseases, a retrospective cohort study.

Mohammad Gharieb Khirallah, Ibrahim Ali Kabbash, Nagi Ebrahim El-Dessouki

Open access · diamondAbstract read
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Article in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% of its field
1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed, 1 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Mohammad Gharieb KhirallahDepartment of Pediatric Surgery, Tanta University, Egypt.
Ibrahim Ali KabbashProfessor of Public Health and Community Medicine, Tanta University, Egypt.
Nagi Ebrahim El-DessoukiDepartment of Pediatric Surgery, Tanta University, Egypt.
Tanta University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposelaparoscopic splenectomy (LS) gained popularity during the last years among pediatric surgeons. Benign hematological diseases represent the main indications of that procedure. There are some score systems of difficulty of the technique. Most of them are for adult patients. The aim is to develop a prognostic score system of LS in children with benign hematological diseases.

methodsLS was performed in all children with benign hematological diseases. The children were operated in lateral decubitus position. The control of pedicle was achieved using bipolar sealing devices, polymer clips or endoscopic linear stablers. Preoperative, operative, and postoperative data were recorded and analyzed. Children were divided into two groups A and B according to the onset of complications.

results137 successive children were operated. The mean age of patients was 8.7 (4-15) years. The main indications of LS were thalassemia, spherocytosis, idiopathic thrombocytopenic purpura (ITP), and sickle cell anemia (SCA). The mean length of splenic axis in thalassemia and spherocytosis cases was15.6 ± 2.3 cm. The mean amount of estimated blood loss (EABL) was 149 ± 43.2 ml in group A while it was 185 ± 44.4 ml in group B. The mean operative time in group A was 75.5 ± 22.5 min while it was 89.2 ± 20.6 min in group B.

conclusionthe development of prognostic score of LS in children with benign hematological diseases can predict children who are more susceptible for complications. It helps to minimize these complications and improve the outcome of LS.

Indexed as

Benign hematological diseasesChildrenLaparoscopic splenectomyPrognosticScore

Identifiers

PMID34188904
PMCPMC8219650
OpenAlexW3169629741

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