Laparoscopic Splenectomy

Deborshi Sharma; Vijay K. Shukla

doi:10.1097/sle.0b013e3181a5a911

Laparoscopic Splenectomy-A Review

Journal of Long-Term Effects of Medical Implants ◽

10.1615/jlongtermeffmedimplants.v14.i5.20 ◽

2004 ◽

Vol 14 (5) ◽

pp. 12 ◽

Cited By ~ 2

Author(s):

Ashley K. Vavra ◽

John F. Sweeney

Keyword(s):

Laparoscopic Splenectomy

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Simultaneous Laparoscopic Splenectomy and Cholecystectomy for Children with Hereditary Spherocytosis and Gallstones

Pediatric Endosurgery & Innovative Techniques ◽

10.1089/pei.1997.1.233 ◽

1997 ◽

Vol 1 (4) ◽

pp. 233-237 ◽

Cited By ~ 2

Author(s):

OSAMU KIMURA ◽

JUN YANAGIHARA ◽

YASUNARI SASAKI ◽

NAOMI IWAI

Keyword(s):

Laparoscopic Splenectomy ◽

Hereditary Spherocytosis

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Laparoscopic splenectomy after failure of nonoperative management – a video vignette

Colorectal Disease ◽

10.1111/codi.15535 ◽

2021 ◽

Author(s):

Alessio Giordano ◽

Alessandro Bruscino ◽

Carlo Bergamini ◽

Giovanni Alemanno ◽

Andrea Valeri ◽

...

Keyword(s):

Laparoscopic Splenectomy ◽

Nonoperative Management ◽

Video Vignette

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The Alexis® system for laparoscopic splenectomy in pediatric patients

Updates in Surgery ◽

10.1007/s13304-021-01023-5 ◽

2021 ◽

Author(s):

Emanuele Trovalusci ◽

Marco Gasparella ◽

Cristina Pizzato ◽

Paola Midrio

Keyword(s):

Idiopathic Thrombocytopenic Purpura ◽

Epidermoid Cyst ◽

Laparoscopic Splenectomy ◽

Pediatric Patients ◽

Organ Size ◽

Spleen Size ◽

Thrombocytopenic Purpura ◽

Direct View ◽

Patient Organ ◽

Retrieval Bag

AbstractThe laparoscopic splenectomy in pediatric patients is performed worldwide but often the disproportion between size of patients and size of organs requires an extra laparotomic access for spleen removal. The aim of the present study was to evaluate the safety and effectiveness of the Alexis® system to retrieve the spleen without additional laparotomic access. The charts of all patients who underwent splenectomy at our center during the last 5 years were retrieved. In all the cases the Alexis® system was placed in the umbilicus, thru which a 10 mm camera was inserted. Three additional 5 mm standard trocars were inserted. Seven patients, affected by spherocytosis (3), epidermoid cyst (2), idiopathic thrombocytopenic purpura (2) and thalassemia (1), underwent laparoscopic splenectomy at a median age of 10 years (range: 8–17). Median patients’ weight was 32.5 kg (range: 25–71) and spleen size 15 cm (11–18). In all the cases, upon removal of the camera, the retrieval bag was inserted thru the umbilicus under direct view, the spleen retrieved, morcellated, and removed. No conversion nor enlargement of one of the ports nor an extra laparotomic access were required. The patients were discharged on the fifth post-operative day and the cosmetic results were excellent. Removal of the spleen can be safely performed without any additional laparotomy thru the Alexis® system placed in the umbilicus. This system is effective also in case of major patient/organ size disproportion and the final cosmetic aspect is excellent.

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Laparoscopic splenectomy for hematologic diseases: a preliminary analysis performed on the Italian Registry of Laparoscopic Surgery of the Spleen (IRLSS)

Surgical Endoscopy ◽

10.1007/s00464-005-0527-5 ◽

2006 ◽

Vol 20 (8) ◽

pp. 1214-1220 ◽

Cited By ~ 33

Author(s):

M. Casaccia ◽

P. Torelli ◽

S. Squarcia ◽

M. P. Sormani ◽

A. Savelli ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Laparoscopic Splenectomy ◽

Preliminary Analysis ◽

Hematologic Diseases

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Laparoscopic splenectomy using ligasure

Surgical Endoscopy ◽

10.1007/s00464-001-9145-z ◽

2002 ◽

Vol 16 (11) ◽

pp. 1608-1611 ◽

Cited By ~ 73

Author(s):

F. Romano ◽

R. Caprotti ◽

C. Franciosi ◽

S. Fina ◽

G. Colombo ◽

...

Keyword(s):

Laparoscopic Splenectomy

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Challenges and Results of Laparoscopic Splenectomy for Hematological Diseases in a Developing Country

Minimally Invasive Surgery ◽

10.1155/2018/4256570 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Vikal Chandra Shakya ◽

Bikram Byanjankar ◽

Rabin Pandit ◽

Anang Pangeni ◽

Anir Ram Moh Shrestha ◽

...

Keyword(s):

Laparoscopic Splenectomy ◽

Operative Time ◽

Hereditary Spherocytosis ◽

Developed Countries ◽

Beta Thalassemia ◽

Hematological Diseases ◽

Alpha Thalassemia ◽

Steroid Dependent ◽

The Mean ◽

Surgery Department

Introduction. Though, in developed countries, laparoscopy is now a gold standard for splenectomy, we are lacking in this aspect in the eastern world. Splenectomy has mostly been performed by open surgery in our region. This is our effort to introduce laparoscopic splenectomy in our country.Methods. This is a retrospective cohort study done in patients presenting to hematology and surgery department of our hospital who underwent laparoscopic splenectomy for hematological diseases from January 2013 to December 2016.Results. There were 50 patients (38 females, 12 males). The diagnoses were idiopathic thrombocytopenic purpura in 31, (steroid/azathioprine-resistant, steroid dependent), hereditary spherocytosis in 9, alpha-thalassemia in 3, beta-thalassemia in 2, autoimmune hemolytic anemia in 4, and isolated splenic tuberculosis in 1. Average platelet counts preoperatively were62000±11000/mm3 (range 52000-325000/mm3). The mean operative time was130±49minutes (range 108-224 min). The mean postoperative stay was4±2.11days (range 3-9 days). Laparoscopic splenectomy could be completed in 45 (90%) patients.Conclusion. Laparoscopic splenectomy could be successfully contemplated in patients with hematological diseases, especially if spleen is normal or only mildly enlarged, and is an advantageous alternative to open splenectomy. Absence of ideal resources has not limited our progress in minimal access approach.

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