Surgical Endoscopy

, Volume 12, Issue 8, pp 1078–1081

Optimizing laparoscopic splenectomy

Technical details and experience in 59 patients
  • A.  Szold
  • B.  Sagi
  • H.  Merhav
  • J. M.  Klausner
Article

DOI: 10.1007/s004649900784

Cite this article as:
Szold, A., Sagi, B., Merhav, H. et al. Surg Endosc (1998) 12: 1078. doi:10.1007/s004649900784

Abstract

Background: Laparoscopic splenectomy (LS), like other advanced laparoscopic procedures, is still an evolving procedure. The indications for surgery, criteria for patient selection, and operative technique are not yet well defined. We have therefore modified the standard technique for performing LS in an attempt to optimize the procedure.

Methods: Over the past 2 years, we have performed LS in 59 patients. The last 43 patients were operated using a standardized technique that we believe to be optimal. It includes the routine use of the right lateral position, operating through three trocars, the mass transection of the splenic vasculature with a vascular endoscopic stapler, and the use of a self-retaining retrieval bag.

Results: The average operating time was 79 min. Average blood loss was 95 cc, and average postoperative hospitalization was 2.3 days. There was one intraoperative complication and one postoperative complication. These results are superior to those we achieved earlier in our own experience, as well as to similar series that have been published recently.

Conclusions: In our experience, the use of this new technique resulted in relatively short procedures with low morbidity. We believe that these results justify the use of LS as the procedure of choice for elective splenectomy in patients with normal or moderately enlarged spleens.

Key words: Laparoscopic splenectomy — Spleen — Hematological disorders 

Copyright information

© Springer-Verlag New York Inc. 1998

Authors and Affiliations

  • A.  Szold
    • 1
  • B.  Sagi
    • 1
  • H.  Merhav
    • 1
  • J. M.  Klausner
    • 1
  1. 1.Division of Laparoscopic Surgery, Department of Surgery, Tel Aviv Sourasky Medical Center and The Sackler School of Medicine, Tel Aviv University, 6 Weizman Street, Tel Aviv 64239, IsraelIL

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