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Laparoscopic Splenectomy

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Surgical Diseases of the Spleen

Abstract

The technique of laparoscopic splenectomy (LS) was first described in 1992 [2, 6] and has become a well-accepted procedure. Approximately 600 cases have been reported, with the largest individual series comprising 70 cases, including a partial splenectomy. Initially, there was concern that the procedure would result in excessive blood loss, splenosis, and inaccurate pathologic examination of the specimen. For the most part, these fears have been proven unwarranted. While splenomegaly remains a technical challenge, LS has become the preferred surgical technique for idiopathic thrombocytopenic purpura (ITP) and other diseases with normal splenic size.

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References

  1. Aksnes J, Abdelnoor M, Mathisen O (1995) Risk factors associated with mortality and morbidity after elective splenectomy. Eur J Surg 161:253–258

    PubMed  CAS  Google Scholar 

  2. Carroll BJ, Phillips EH, Semel CJ et al (1992) Laparoscopic splenectomy. Surg Endosc 6:183–185

    Article  PubMed  CAS  Google Scholar 

  3. Cadiere GB, Verroken R, Himpens J, Bruyns J, Efira M, De Witt S (1994) Operative strategy in laparoscopic splenectomy. J Am Coll Surg 179:668–672

    PubMed  CAS  Google Scholar 

  4. Cuschieri A, Shimi S, Banting S, Vander Velpen G (1992) Technical aspects of laparoscopic splenectomy: hilar segmental devascularization and instrumentation. J R Coll Surg Edin 37:414–416

    CAS  Google Scholar 

  5. Delaitre B (1995) Laparoscopic splenectomy, the hanged spleen technique. Surg Endosc 9:528–529

    Article  PubMed  CAS  Google Scholar 

  6. Delaitre B, Maignien B (1992) Laparoscopic splenectomy: technical aspects. Surg Endosc 6:305–308

    Article  PubMed  CAS  Google Scholar 

  7. Ellison EC, Fabri PJ (1983) Complications of splenectomy: etiology, prevention and management. Surg Clin N Am 63 (6): 1313–1330

    PubMed  CAS  Google Scholar 

  8. Emmerman A, Zornig C, Peiper M et al (1995) Laparoscopic splenectomy. Surg Endosc 9:924–927

    Google Scholar 

  9. Friedman RL, Fallas MJ, Carroll BJ, Hiatt JR, Phillips EH (1996) Laparoscopic splenectomy for ITP: the gold standard. Surg Endosc 10:991–995

    Article  PubMed  CAS  Google Scholar 

  10. Gigot JF, Healy ML, Ferrant A, Michaux JL, Njinou B, Kestens PJ (1994) Laparoscopic splenectomy for idiopathic thrombocytopenic purpura. Br J Surg 81:1171–1172

    Article  PubMed  CAS  Google Scholar 

  11. Hanley ES (1992) Anesthesia for laparoscopic surgery. Surg Clin N Am 72:1013–1019

    PubMed  CAS  Google Scholar 

  12. Horowitz J, Smith JL, Weber TK, Rodriguez-Bigas MA, Petrelli NJ (1996) Postoperative complications after splenectomy for hematologic malignancies. Ann Surg 223:290–296

    Article  PubMed  CAS  Google Scholar 

  13. Jockovich M, Mendenhall NP, Sombeck MD, Talbert JL, Copeland III EM, Bland KI (1994) Long term complications of laparotomy in Hodgkin’s disease. Ann Surg 219:615–624

    Article  PubMed  CAS  Google Scholar 

  14. Lefor AT, Melvin WS, Bailey RW, Flowers JL (1993) Laparoscopic splenectomy in the management of immune thrombocytopenia purpura. Surgery 114:613–618

    PubMed  CAS  Google Scholar 

  15. MacRae HM, Yakimets WW, Reynolds T (1992) Perioperative complications of splenectomy for hematologic disease. Can J Surg 35:432–436

    PubMed  CAS  Google Scholar 

  16. Michel NA (1942) The variational anatomy of the spleen and splenic artery. Am J Anat 70:21–72

    Article  Google Scholar 

  17. Mintz SJ, Petersen SR, Cheson B, Cordell LJ, Richards RC (1981) Splenectomy for immune thrombocytopenic purpura. Arch Surg 116:645–650

    PubMed  CAS  Google Scholar 

  18. Musser G, Lazar G, Hocking W, Busuttil RW (1984) Splenectomy for hematologic disease: the UCLA experience with 306 patients. Ann Surg 200 (l):40–45

    Article  PubMed  CAS  Google Scholar 

  19. Phillips EH, Carroll BJ, Fallas MJ (1994) Laparoscopic splenectomy. Surg Endosc 8:931–933

    Article  PubMed  CAS  Google Scholar 

  20. Phillips EH, Carroll BJ, Rosenthal RJ (1995) Laparoscopic splenectomy. In: Cameron JL (ed) Current surgical therapy, 5th edn. Mosby, St. Louis, pp 1069–1072

    Google Scholar 

  21. Phillips JM (1977) Laparoscopy. Williams and Wilkins, Baltimore, pp 220–246

    Google Scholar 

  22. Poulin EC, Thibault C (1993) The anatomical basis for laparoscopic splenectomy. Can J Surg 36:484–488

    PubMed  CAS  Google Scholar 

  23. Poulin EC, Thibault C, Mamazza J (1995) Laparoscopic splenectomy. Surg Endosc 9:172–177

    Article  PubMed  CAS  Google Scholar 

  24. Rattner DW, Ellman L, Warshaw AL (1993) Portal vein thrombosis after elective splenectomy. An under-appreciated, potentially lethal syndrome. Arch Surg 128:565–569, 569–570

    PubMed  CAS  Google Scholar 

  25. Ravikumar TS, Allen JD, Bothe A, Steele G (1989) Splenectomy: the treatment of choice for human immunodeficiency virus-related immune thrombocytopenia? Arch Surg 124:625–628

    PubMed  CAS  Google Scholar 

  26. Rhodes M, Rudd M, O’Rourke N, Nathanson L, Fielding G (1995) Laparoscopic splenectomy and lymph node biopsy for hematologic disorders. Ann Surg 222:43–46

    Article  PubMed  CAS  Google Scholar 

  27. Sheldon GF, Croom RD, Meyer AA (1991) The spleen. In: Sabiston DC (ed) Textbook of surgery: the biological basis of modern surgical practice. Saunders, Philadelphia, pp 1108–1133

    Google Scholar 

  28. Yee LF, Carvajal SH, Lorimier A, Mulvihill SJ (1995) Laparoscopic splenectomy: an initial experience at University of California, San Francisco. Arch Surg 130:874–878

    PubMed  CAS  Google Scholar 

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© 1997 Springer-Verlag Berlin Heidelberg

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Phillips, E.H., Korman, J.E., Friedman, R. (1997). Laparoscopic Splenectomy. In: Hiatt, J.R., Phillips, E.H., Morgenstern, L. (eds) Surgical Diseases of the Spleen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60574-1_13

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  • DOI: https://doi.org/10.1007/978-3-642-60574-1_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64461-0

  • Online ISBN: 978-3-642-60574-1

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