[The laparoscopic splenectomy in patients with hypersplenism, caused by liver cirrhosis].

The study aimed to assess the efficacy of the laparoscopic splenectomy in hematologic patients. The retrospective study included 147 patients with various hematologic diseases and hypersplenism operated during 2002-2010 yy. 125 (85.03%) conventional and 22 (14.97%) laparoscopic operations were carried out. The statistical difference were revealed only for the size and weight of the spleen and duration of the operation. The conventional group had 23.2% of complications and the laparoscopic group showed the 22.7% complication rate. The laparoscopic splenectomy was successfully carried in patients with the unchanged organ linear size (12.4 sm) and in younger patients. The choice of the surgical method was defined mainly by the spleen linear size.

[Experience of laparoscopy application in the treatment of the patients, suffering hematological diseases in Latvia].

Laparoscopic splenectomy (LS) is performed on stages of treatment of various benign and malignant hematological diseases. Retrospective investigation was done, in whom 129 patients were included, which were operated on in 2002-2010 yrs in "Linazers" clinic for benign and malignant hematological diseases. In 107 (82.94%) of them open splenectomy (OS) was performed and in 22 (17.06%)--LS. Trustworthy differences of the age median were established in patients, in whom OS and LS were performed, the spleen size before the operation have constituted 19 cm in OS group and 12,4 cm--in LS group. LS is affordable and safe, in comparison with OS, as operative procedure option for patients of younger age with a normal spleen. For more complete estimation of LS application in hematological diseases it is necessary to prolong a work on creation of a data base of operations, performed on spleen.