Comparative treatment and literature review for laparoscopic splenectomy alone versus preoperative splenic artery embolization splenectomy.

Surgical Endoscopy
Zhong WuBing Peng

Abstract

Although laparoscopic splenectomy has been gradually regarded as an acceptable therapeutic approach for patients with massive splenomegaly, intraoperative blood loss remains an important complication. In an effort to evaluate the most effective and safe treatment of splenomegaly, we compared three methods of surgery for treating splenomegaly, including open splenectomy, laparoscopic splenectomy, and a combination of preoperative splenic artery embolization plus laparoscopic splenectomy. From January 2006 to August 2011, 79 patients underwent splenectomy in our hospital. Of them, 20 patients underwent a combined treatment of preoperative splenic artery embolization and laparoscopic splenectomy (group 1), 30 patients had laparoscopic splenectomy alone (group 2), and 29 patients underwent open splenectomy (group 3). Patients' demographics, perioperative data, clinical outcome, and hematological changes were analyzed. Preoperative splenic artery embolization plus laparoscopic splenectomy was successfully performed in all patients in group 1. One patient in group 2 required an intraoperative conversion to traditional open splenectomy because of severe blood loss. Compared with group 2, significantly shorter operating time, less intr...Continue Reading

References

Nov 1, 1977·AJR. American Journal of Roentgenology·W R Castaneda-ZunigaK Amplatz
Feb 1, 1989·Surgery, Gynecology & Obstetrics·H A Johnson, R A Deterling
Feb 1, 1995·Surgical Endoscopy·E C PoulinJ Mamazza
May 1, 1995·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·K UrataM Makuuchi
Feb 1, 1995·Iowa Medicine : Journal of the Iowa Medical Society·W BowerM Westberg
Mar 1, 1993·The British Journal of Surgery·J P LetoquartR Leblay
Jul 1, 1996·Annals of Surgery·J L FlowersA L Imbembo
Aug 1, 1996·Surgical Endoscopy·P G FitzgeraldM A Skinner
Jun 5, 1998·Surgical Endoscopy·E C PoulinC M Schlachta
Jan 10, 2001·Surgical Endoscopy·P HellmanJ Rastad
Mar 27, 2001·Journal of Vascular and Interventional Radiology : JVIR·K L KilleenS E Mirvis
Mar 28, 2001·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·K IwaseW Kamiike
Nov 1, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Kazuhiro IwaseWataru Kamiike
Apr 30, 2003·Journal of Pediatric Surgery·Haitham DagashAgostino Pierro
Jul 12, 2003·Annals of the Royal College of Surgeons of England·David Mahon, Michael Rhodes
Nov 18, 2004·American Journal of Surgery·Michael B PetersJohn F Sweeney
Sep 2, 2005·Surgical Endoscopy·T TakahashiT Tajiri
Apr 21, 2007·Journal of Vascular and Interventional Radiology : JVIR·Kristen Gledhill KoconisGregory Soares
Apr 23, 2008·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Majed MaaloufDaniel Gagne
Jun 7, 2008·Journal of Hepato-biliary-pancreatic Surgery·Takashi HamaHiroki Yamaue
Nov 26, 2009·Journal of Gastroenterology and Hepatology·Morimasa TomikawaYoshihiko Maehara
Mar 30, 2011·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Todd W SwansonO Neely M Panton

❮ Previous
Next ❯

Citations

Sep 10, 2014·International Journal of Surgery Case Reports·Damiano PatronoMauro Salizzoni
Apr 29, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Natalie S M WongCalvin S H Ng
Jan 28, 2017·Journal of the American College of Surgeons·David S SilverDouglas P Slakey
Mar 10, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Michael R FreundJoseph Alberton
Oct 12, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·P Marco FisichellaGerard J Abood
Dec 8, 2016·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Yao LiuChi-Dan Wan
Jul 1, 2017·Journal of Clinical and Translational Hepatology·Pearl Princess D UyGeorge Y Wu
Oct 19, 2019·Clinical Case Reports·Yoshikatsu SaitohTakashi Kamei
Oct 29, 2015·GE Portuguese Journal of Gastroenterology·Alexandra FernandesCarlos Sofia
Aug 2, 2017·Journal of Visceral Surgery·S BonnetS Gaujoux

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.