Laparoscopic partial and total splenectomy in non-trauma patients

Selman Uranüs
2017 Laparoscopic Endoscopic Surgical Science  
Developments in equipment and refinements in surgical technique have made minimally invasive surgery possible on parenchymatous organs, including the spleen. Due to the organ's important immunological functions, organ conservation has high priority in spleen surgery, and this must be taken into consideration in laparoscopic surgery. Materials and Methods: For laparoscopic splenectomy and hemisplenectomy in non-trauma cases, 3 to 4 trocars are used with the patient in semilateral recumbent
more » ... ral recumbent position. Ultrasonic scissors or Ligasure (Covidien-Medtronic, Inc., Minneapolis, MN, USA) instrument is used to dissect the vessels and mobilize the spleen. The vessels are carefully prepared and, for hemisplenectomy, dissected selectively. For splenectomy, an endostapler with a vascular cartridge is usually used to sever the hilar vessels. For partial resection, the parenchyma is also separated with same instrument. In the present study, 156 patients in a period of 14 years were operated on using this technique: There were 23 resections of the lower pole, 39 of the upper pole, 5 subtotal resections, and 89 splenectomies.
doi:10.14744/less.2017.66376 fatcat:eqyocpdskbeylobjbnfe2n6t5e