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Clinical and quality of life outcomes of laparoscopic and open splenectomy for haematological diseases.

OBJECTIVE
To study the outcome of open and laparoscopic splenectomy for haematological diseases in terms of quality of life and haematological measures.


DESIGN
Prospective non-randomised study.


SETTING
Tertiary care hospital, USA.


PARTICIPANTS
44 patients, 27 treated laparoscopically and 17 by open splenectomy.


MAIN OUTCOME MEASURES
Quality of life judged by the SF-36 and adequacy of control of the haematological disease.


RESULTS
Both quality of life and haematological disease were significantly improved by operation; laparoscopically treated patients had less pain.


CONCLUSION
In properly selected patients laparoscopic splenectomy is preferable to open splenectomy.