Clinical and Quality of Life Outcomes of Laparoscopic and Open Splenectomy for Haematological Diseases

Abstract
To study the outcome of open and laparoscopic splenectomy for haematological diseases in terms of quality of life and haematological measures. Prospective non-randomised study. Tertiary care hospital, USA. 44 patients, 27 treated laparoscopically and 17 by open splenectomy. Quality of life judged by the SF-36 and adequacy of control of the haematological disease. Both quality of life and haematological disease were significantly improved by operation; laparoscopically treated patients had less pain. In properly selected patients laparoscopic splenectomy is preferable to open splenectomy.

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