Hand-Assisted Laparoscopic Splenectomy vs Conventional Laparoscopic Splenectomy in Cases of Splenomegaly
Open Access
- 1 December 2002
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 137 (12) , 1348-1352
- https://doi.org/10.1001/archsurg.137.12.1348
Abstract
LAPAROSCOPIC splenectomy (LS) is ideal for the removal of normal-sized spleens. Splenomegaly increases the technical challenges of this procedure. In several open splenectomy series,1,2 operative morbidity and mortality increases significantly with splenomegaly. Laparoscopic or open resection of an enlarged spleen can be difficult because of limited retraction and hilar visualization. Splenomegaly increases the risks of bleeding, capsular disruption, and conversions to open splenectomy.3Keywords
This publication has 7 references indexed in Scilit:
- Laparoscopic splenectomy for massive splenomegalyThe American Journal of Surgery, 2002
- Outcome of laparoscopic splenectomy based on hematologic indicationSurgical Endoscopy, 2001
- Handport-assisted laparoscopic splenectomy in massive splenomegalySurgical Endoscopy, 2000
- Hand-assisted laparoscopic splenectomySurgical Endoscopy, 2000
- Splenomegaly Should Not Be Considered a Contraindication for Laparoscopic SplenectomyAnnals of Surgery, 1998
- Comparative analysis of laparoscopic versus open splenectomyThe American Journal of Surgery, 1996
- Early postoperative course following elective splenectomy in haematological diseases: A high complication rate in patients with myeloproliferative disordersBritish Journal of Surgery, 1986