Unresolved issues in laparoscopic splenectomy

American Journal of Surgery
N KatkhoudaJ Mouiel

Abstract

Laparoscopy is now expanding to surgery of intra-abdominal solid organs such as splenectomy for hematologic diseases. The purpose of this study is to further demonstrate that laparoscopic splenectomy is feasible for the surgeon, teachable for the resident, and beneficial to the patient and to revise prior contraindications to this minimally invasive approach. Thirty-three consecutive cases of laparoscopic splenectomy were performed between May 1992 and March 1996. The series included 21 females and 12 males with a median age of 42 years (range 19-79) and a median weight of 73 kg (range 36-115). Indications included: immune thrombocytopenic purpura (20), hemolytic anemia (5), hereditary spherocytosis (4), infarction with abscess (1), Hodgkin's lymphoma (1), Gaucher's disease (1), and AIDS-related thrombocytopenia (1). Dissection was predominately performed with a new surgical instrument, the harmonic shears, and main vessels were controlled with clips. Thirty-two (97%) of the cases were completed laparoscopically, with 1 (3%) conversion to control hilar bleeding. Four patients underwent simultaneous cholecystectomy. The median spleen size was 13 cm (range 8-28) and median weight was 256 g (range 40-2100). Median operating time w...Continue Reading

References

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Citations

Aug 7, 2002·Surgical Endoscopy·F CorcioneD Piccolboni
Apr 29, 1999·American Journal of Surgery·K TanoueK Sugimachi
Sep 15, 2000·The Surgical Clinics of North America·N Katkhouda, E Mavor
Feb 1, 2002·Surgery·Kazuo TanoueMakoto Hashizume
Jan 30, 2002·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·N KatkhoudaA M Kaiser
Feb 20, 2003·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Rosario VecchioBruce V MacFadyen
May 9, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Dariusz PatkowskiJerzy Czernik
Dec 27, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Fabrizio RomanoMassimo Saviano
Oct 28, 1998·Annals of Surgery·N KatkhoudaJ Mouiel
Nov 1, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Kazuhiro IwaseWataru Kamiike
Aug 6, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Enis YüneyOmer Bender
Feb 22, 2008·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Denzil Garteiz MartínezAdolfo Pardo García
Nov 9, 2012·International Journal of Medical Sciences·Bai JiGuangyi Wang
May 10, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·R CaprottiF Uggeri

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