Splenectomy for Massive Splenomegaly

  • Dionne Skeete
  • Lee Swanström
  • Marco Casaccia
  • Melhem Sharafuddin

Laparoscopic splenectomy has become the procedure of choice for elective removal of the spleen. Technical difficulty arises when the spleen is massively enlarged. This chapter explores options for management in that situation, including preoperative embolization, technical tips to facilitate laparoscopic splenectomy, and minilaparotomy (open) splenectomy.


Splenic Artery Laparoscopic Splenectomy Short Gastric Vessel Preoperative Embolization Enlarge Spleen 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Dionne Skeete
    • 1
  • Lee Swanström
    • 2
    • 3
  • Marco Casaccia
    • 4
  • Melhem Sharafuddin
    • 5
  1. 1.Department of SurgeryUniversity of Iowa Health CareIowa CityUSA
  2. 2.Department of SurgeryOregon Health Sciences UniversityUSA
  3. 3.Division of Minimally Invasive SurgeryLegacy Health SystemPortlandUSA
  4. 4.Department of Surgery, General and Transplant Surgery DepartmentUniversity of GenoaItaly
  5. 5.Department of SurgeryUniversity of Iowa Hospitals and ClinicsIowa CityUSA

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