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Laparoscopic Splenectomy

  • Jason T. Wiseman
  • Luke M. FunkEmail author
Chapter

Abstract

First performed in 1991, laparoscopic splenectomy is now considered the gold standard surgical approach for elective splenectomy. Laparoscopic splenectomy can be safely performed in most cases where splenectomy is indicated, including massive splenomegaly. As compared to open splenectomy, laparoscopic splenectomy is associated with decreased 30-day mortality, decreased need for intraoperative transfusion, decreased post-operative pain and decreased length of stay. Yet despite the advantages of laparoscopy, open splenectomy remains the mainstay for emergent splenectomies, particularly for patients who are hemodynamically unstable and have high-grade splenic injuries.

Keywords

Splenomegaly Idiopathic thrombocytopenic purpura Splenic malignancy 

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA
  2. 2.Department of SurgeryUniversity of Wisconsin Hospitals and ClinicsMadisonUSA

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