TY  - JOUR
AU  - Milosavljević, Vladimir
AU  - Tadić, Boris
AU  - Grubor, Nikola
AU  - Erić, Dragan
AU  - Matić, Slavko
PY  - 2020
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/8758
AB  - Laparoscopic splenectomy has become the gold standard for the surgical treatment of most splenic conditions. Benign splenic tumors have been mainly reported as sporadic cases or minimal case series, without significant consideration regarding optimal surgical approach. We conducted a retrospective cohort study from medical records of the 60 patients who had undergone splenectomy due to benign tumors of the spleen from 2003 to 2018. The patients were divided into two groups, first, consisted of 24 patients who underwent laparoscopic splenectomy, and the second group included 36 patients who underwent open splenectomy. We noted slight female predominance (55%) in a group of patients with benign splenic tumors. In the laparoscopic group, intraoperative bleeding amounted to 23.83 ± 15.93 ml, while in the open group, it was 37.06 ± 25.21 ml. The average surgery time in the laparoscopic group was 83.42 ± 17.96 min, while in the open group, it was 93.81 ± 14.62 min. The complication rate was different in favor of the laparoscopic surgery group. Intraoperatively, we detected three accessory spleens which had not been previously noticed during preoperative diagnostics, one in the open group and two in the laparoscopic group. The most common tumor in our study was hemangioma (40%), lymphangioma (35%), and hamartomas (13.3%). Myoid angioendothelioma, SANT, and inflammatory pseudotumor of the spleen were with a prevalence of 6.7%, 3.3%, and 1.7%, successively. Laparoscopic splenectomy should be attempted in all patients with benign splenic tumors when surgical indication exists. It implies a safe treatment with low probability of occurrence of intraoperative and postoperative complications. © 2019, Association of Surgeons of India.
T2  - Indian Journal of Surgery
T1  - Laparoscopic Vs. Open Surgery in Management of Benign Neoplasms of Spleen—Single Institution Experience
VL  - 82
IS  - 3
SP  - 355
EP  - 359
DO  - 10.1007/s12262-019-01974-5
ER  - 

@article{
author = "Milosavljević, Vladimir and Tadić, Boris and Grubor, Nikola and Erić, Dragan and Matić, Slavko",
year = "2020",
abstract = "Laparoscopic splenectomy has become the gold standard for the surgical treatment of most splenic conditions. Benign splenic tumors have been mainly reported as sporadic cases or minimal case series, without significant consideration regarding optimal surgical approach. We conducted a retrospective cohort study from medical records of the 60 patients who had undergone splenectomy due to benign tumors of the spleen from 2003 to 2018. The patients were divided into two groups, first, consisted of 24 patients who underwent laparoscopic splenectomy, and the second group included 36 patients who underwent open splenectomy. We noted slight female predominance (55%) in a group of patients with benign splenic tumors. In the laparoscopic group, intraoperative bleeding amounted to 23.83 ± 15.93 ml, while in the open group, it was 37.06 ± 25.21 ml. The average surgery time in the laparoscopic group was 83.42 ± 17.96 min, while in the open group, it was 93.81 ± 14.62 min. The complication rate was different in favor of the laparoscopic surgery group. Intraoperatively, we detected three accessory spleens which had not been previously noticed during preoperative diagnostics, one in the open group and two in the laparoscopic group. The most common tumor in our study was hemangioma (40%), lymphangioma (35%), and hamartomas (13.3%). Myoid angioendothelioma, SANT, and inflammatory pseudotumor of the spleen were with a prevalence of 6.7%, 3.3%, and 1.7%, successively. Laparoscopic splenectomy should be attempted in all patients with benign splenic tumors when surgical indication exists. It implies a safe treatment with low probability of occurrence of intraoperative and postoperative complications. © 2019, Association of Surgeons of India.",
journal = "Indian Journal of Surgery",
title = "Laparoscopic Vs. Open Surgery in Management of Benign Neoplasms of Spleen—Single Institution Experience",
volume = "82",
number = "3",
pages = "355-359",
doi = "10.1007/s12262-019-01974-5"
}

Milosavljević, V., Tadić, B., Grubor, N., Erić, D.,& Matić, S.. (2020). Laparoscopic Vs. Open Surgery in Management of Benign Neoplasms of Spleen—Single Institution Experience. in Indian Journal of Surgery, 82(3), 355-359.
https://doi.org/10.1007/s12262-019-01974-5

Milosavljević V, Tadić B, Grubor N, Erić D, Matić S. Laparoscopic Vs. Open Surgery in Management of Benign Neoplasms of Spleen—Single Institution Experience. in Indian Journal of Surgery. 2020;82(3):355-359.
doi:10.1007/s12262-019-01974-5 .

Milosavljević, Vladimir, Tadić, Boris, Grubor, Nikola, Erić, Dragan, Matić, Slavko, "Laparoscopic Vs. Open Surgery in Management of Benign Neoplasms of Spleen—Single Institution Experience" in Indian Journal of Surgery, 82, no. 3 (2020):355-359,
https://doi.org/10.1007/s12262-019-01974-5 . .

TY  - JOUR
AU  - Milosavljević, Vladimir
AU  - Tadić, Boris
AU  - Grubor, Nikola
AU  - Erić, Dragan
AU  - Matić, Slavko
PY  - 2019
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/8456
AB  - Introduction/Objective Splenic cysts are a rare clinical entity. In their origin, they may be parasitic or non-parasitic. They are classified as either primary (true) or secondary cysts (pseudocysts), depending on the presence or absence of an epithelial lining of the lumen. Methods Using a retrospective case study, we included 29 patients undergoing laparoscopic surgery due to splenic cysts. The patients were treated within the 2007-2017 period at the Clinic for Digestive Surgery, the Clinical Center of Serbia. We analyzed pre-operative, intra-operative and post-operative characteristics of laparoscopic technique in treating non-parasitic splenic cysts. Results The group of 29 patients treated with laparoscopic technique surgery due to the previously diagnosed splenic cyst, consisted of 12 (41.4%) men and 17 (58.6%) women. The average age of patients undergoing surgery was 38.86 ± 10.4 years (22-62). Based on the histopathological findings, there were eight epithelial cysts and 21 pseudocysts of the spleen. The maximal diameter of the splenic cyst, measured pre-operatively, was 10.09 ± 2.51 cm on average. The average operative time was 35 minutes, and the intra-operative bleeding amount was 11.48 ± 3.78 ml. None of the intra-operative complications, injury to the spleen or other organs of the abdomen, conversions to open surgery or reintervention were recorded. Conclusion Laparoscopic fenestration with excision of the part of the spleen cyst wall (marsupialization) represents an effective and definitive treatment for this disease. It is an alternative to splenectomy, along with other well-known benefits ensured by the spleen preservation. Low probability of occurrence of intra-operative and post-operative complications, as well as minimal trauma of tissue, results in a shorter postoperative stay, rapid recovery, and better quality of life. © 2019, Serbia Medical Society. All rights reserved.
T2  - Srpski arhiv za celokupno lekarstvo
T1  - Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts
VL  - 147
IS  - 5-6
SP  - 307
EP  - 310
DO  - 10.2298/SARH181008029M
ER  - 

@article{
author = "Milosavljević, Vladimir and Tadić, Boris and Grubor, Nikola and Erić, Dragan and Matić, Slavko",
year = "2019",
abstract = "Introduction/Objective Splenic cysts are a rare clinical entity. In their origin, they may be parasitic or non-parasitic. They are classified as either primary (true) or secondary cysts (pseudocysts), depending on the presence or absence of an epithelial lining of the lumen. Methods Using a retrospective case study, we included 29 patients undergoing laparoscopic surgery due to splenic cysts. The patients were treated within the 2007-2017 period at the Clinic for Digestive Surgery, the Clinical Center of Serbia. We analyzed pre-operative, intra-operative and post-operative characteristics of laparoscopic technique in treating non-parasitic splenic cysts. Results The group of 29 patients treated with laparoscopic technique surgery due to the previously diagnosed splenic cyst, consisted of 12 (41.4%) men and 17 (58.6%) women. The average age of patients undergoing surgery was 38.86 ± 10.4 years (22-62). Based on the histopathological findings, there were eight epithelial cysts and 21 pseudocysts of the spleen. The maximal diameter of the splenic cyst, measured pre-operatively, was 10.09 ± 2.51 cm on average. The average operative time was 35 minutes, and the intra-operative bleeding amount was 11.48 ± 3.78 ml. None of the intra-operative complications, injury to the spleen or other organs of the abdomen, conversions to open surgery or reintervention were recorded. Conclusion Laparoscopic fenestration with excision of the part of the spleen cyst wall (marsupialization) represents an effective and definitive treatment for this disease. It is an alternative to splenectomy, along with other well-known benefits ensured by the spleen preservation. Low probability of occurrence of intra-operative and post-operative complications, as well as minimal trauma of tissue, results in a shorter postoperative stay, rapid recovery, and better quality of life. © 2019, Serbia Medical Society. All rights reserved.",
journal = "Srpski arhiv za celokupno lekarstvo",
title = "Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts",
volume = "147",
number = "5-6",
pages = "307-310",
doi = "10.2298/SARH181008029M"
}

Milosavljević, V., Tadić, B., Grubor, N., Erić, D.,& Matić, S.. (2019). Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts. in Srpski arhiv za celokupno lekarstvo, 147(5-6), 307-310.
https://doi.org/10.2298/SARH181008029M

Milosavljević V, Tadić B, Grubor N, Erić D, Matić S. Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts. in Srpski arhiv za celokupno lekarstvo. 2019;147(5-6):307-310.
doi:10.2298/SARH181008029M .

Milosavljević, Vladimir, Tadić, Boris, Grubor, Nikola, Erić, Dragan, Matić, Slavko, "Laparoscopic technique as a method of choice in the treatment of non-parasitic splenic cysts" in Srpski arhiv za celokupno lekarstvo, 147, no. 5-6 (2019):307-310,
https://doi.org/10.2298/SARH181008029M . .