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Splenic Surgery

  • Shuodong Wu
  • Ying Fan
  • Yu Tian
Chapter
  • 2.1k Downloads

Abstract

Splenectomy is a very common surgical procedure. Indications for splenectomy vary, therefore the operative steps, difficulty and post-operative results differ. With the development of laparoscopic surgical technique and improvement of surgical instruments, single-incision laparoscopic splenectomy has been used in clinic. Barbaros U et al. reported the index case of laparoendoscopic single-site splenectomy in 2009 (Barbaros and Dinççağ, Gastrointest Surg 13:1520–1523, 2009). Thereafter, this procedure has been adapted in clinical practice by some institutions (Vatansev and Ece, Surg Laparosc Endosc Percutan Tech 19:e225–e227, 2009; Malladi et al., JSLS 13:601–604, 2009; Lagrand and Kehdy, Am Surg 76:E158–E159, 2010; Barbaros et al., Surg Laparosc Endosc Percutan Tech 20:306–311, 2010; Colon et al., JSLS 15:384–386, 2011; Bell et al., J Pediatr Surg 47:898–903, 2012; Dapri et al., Surg Endosc 25:3419–3422, 2011). We have reported the first case of laparoendoscopic single-site splenectomy in the treatment of traumatic rupture of the spleen in 2011 (Fan et al., Surg Innov 18:185–188, 2011) and hypersplenism secondary to portal hypertension in 2012 (Jing et al., Surg Innov, 2012).

We believe, in early series of highly selected patients, laparoendoscopic single-site splenectomy appears to be feasible and safe when performed by experienced laparoscopic surgeons. Despite technical difficulties, there may be potential benefits associated with single-incision over multiple-incision laparoscopic splenectomy but it is yet to be proven objectively.

Keywords

Splenectomy Gastrocolic ligament Splenogastric ligament Splenocolic ligament Splenorenal ligament Phrenosplenic ligament Spleen pedicle Pericardial devascularization Gastric coronary vein 

References

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Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Shuodong Wu
    • 1
  • Ying Fan
    • 1
  • Yu Tian
    • 1
  1. 1.Minimal Invasive Surgery and Bile Duct Surgery Shengjing HospitalChina Medical UniversityShenyangChina

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