{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T06:21:45Z","timestamp":1792390905683,"version":"4.4.0"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T00:00:00Z","timestamp":1533081600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Minimally Invasive Surgery"],"published-print":{"date-parts":[[2018,8,1]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. Though, in developed countries, laparoscopy is now a gold standard for splenectomy, we are lacking in this aspect in the eastern world. Splenectomy has mostly been performed by open surgery in our region. This is our effort to introduce laparoscopic splenectomy in our country.<jats:italic>Methods<\/jats:italic>. This is a retrospective cohort study done in patients presenting to hematology and surgery department of our hospital who underwent laparoscopic splenectomy for hematological diseases from January 2013 to December 2016.<jats:italic>Results<\/jats:italic>. There were 50 patients (38 females, 12 males). The diagnoses were idiopathic thrombocytopenic purpura in 31, (steroid\/azathioprine-resistant, steroid dependent), hereditary spherocytosis in 9, alpha-thalassemia in 3, beta-thalassemia in 2, autoimmune hemolytic anemia in 4, and isolated splenic tuberculosis in 1. Average platelet counts preoperatively were<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mn fontstyle=\"italic\">62000<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">11000<\/mml:mn><\/mml:math>\/mm3 (range 52000-325000\/mm3). The mean operative time was<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mn fontstyle=\"italic\">130<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">49<\/mml:mn><\/mml:math>minutes (range 108-224\u2009min). The mean postoperative stay was<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mn fontstyle=\"italic\">4<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">2.11<\/mml:mn><\/mml:math>days (range 3-9 days). Laparoscopic splenectomy could be completed in 45 (90%) patients.<jats:italic>Conclusion<\/jats:italic>. Laparoscopic splenectomy could be successfully contemplated in patients with hematological diseases, especially if spleen is normal or only mildly enlarged, and is an advantageous alternative to open splenectomy. Absence of ideal resources has not limited our progress in minimal access approach.<\/jats:p>","DOI":"10.1155\/2018\/4256570","type":"journal-article","created":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T19:34:03Z","timestamp":1533152043000},"page":"1-5","source":"Crossref","is-referenced-by-count":2,"title":["Challenges and Results of Laparoscopic Splenectomy for Hematological Diseases in a Developing Country"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3099-3819","authenticated-orcid":true,"given":"Vikal Chandra","family":"Shakya","sequence":"first","affiliation":[{"name":"Department of Surgery, Civil Service Hospital of Nepal, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bikram","family":"Byanjankar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Civil Service Hospital of Nepal, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabin","family":"Pandit","sequence":"additional","affiliation":[{"name":"Department of Surgery, Civil Service Hospital of Nepal, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anang","family":"Pangeni","sequence":"additional","affiliation":[{"name":"Department of Surgery, Civil Service Hospital of Nepal, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anir Ram Moh","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Surgery, Civil Service Hospital of Nepal, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bishesh","family":"Poudyal","sequence":"additional","affiliation":[{"name":"Clinical Hematology and Bone Marrow Transplant Unit, Department of Medicine, Civil Service Hospital of Nepal, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"issue":"44, article 2263","key":"1","volume":"20","year":"1991","journal-title":"La Presse M\u00e9dicale"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0527-5"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2006.16.339"},{"issue":"2","key":"4","first-page":"199","volume":"10","year":"2006","journal-title":"JSLS : Journal of the Society of Laparoendoscopic Surgeons \/ Society of Laparoendoscopic Surgeons"},{"issue":"1230","key":"5","volume":"119","year":"2006","journal-title":"The New Zealand Medical Journal"},{"key":"6","first-page":"389","volume":"9","year":"2005","journal-title":"Journal of the Society of Laparoendoscopic Surgeons"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2006.16.241"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.11.032"},{"issue":"2","key":"9","first-page":"82","volume":"91","year":"2006","journal-title":"International Surgery"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e318180a529"},{"issue":"6","key":"11","first-page":"821","volume":"89","year":"2006","journal-title":"Journal of the Medical Association of Thailand"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1097\/01.sle.0000166990.66980.78"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.141.8.755"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1089\/109264203322656414"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-8916-0"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-9174-x"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.02.002"},{"key":"18","first-page":"163","volume":"9","year":"2005","journal-title":"Journal of the Society of Laparoendoscopic Surgeons"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2005.15.28"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1308\/003588410X12664192076133"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.2-5-440"},{"issue":"30","key":"22","first-page":"261","volume":"8","year":"2010","journal-title":"Kathmandu University Medical Journal"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2014.17.241.2610"},{"issue":"3","key":"24","first-page":"223","volume":"14","year":"2012","journal-title":"Nepal Medical College journal : NMCJ"},{"key":"25","first-page":"91","volume":"8","year":"2010","journal-title":"Journal of Nepal Health Research Council"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.3126\/jpn.v5i10.15642"},{"issue":"203","key":"27","doi-asserted-by":"crossref","first-page":"16","DOI":"10.31729\/jnma.2832","volume":"55","year":"2016","journal-title":"Journal of Nepal Medical Association"},{"issue":"4","key":"28","first-page":"328","volume":"14","year":"2012","journal-title":"Nepal Medical College journal : NMCJ"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0523-9"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1308\/003588403766274953"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000080826.97026.d8"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.1007\/BF02498866"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199607000-00004"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900607"}],"container-title":["Minimally Invasive Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/mis\/2018\/4256570.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/mis\/2018\/4256570.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/mis\/2018\/4256570.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,21]],"date-time":"2019-10-21T14:27:06Z","timestamp":1571668026000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/mis\/2018\/4256570\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,1]]},"references-count":34,"alternative-id":["4256570","4256570"],"URL":"https:\/\/doi.org\/10.1155\/2018\/4256570","relation":{},"ISSN":["2090-1445","2090-1453"],"issn-type":[{"value":"2090-1445","type":"print"},{"value":"2090-1453","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,1]]}}}