Electronic Resource
Springer
Surgical endoscopy and other interventional techniques
9 (1995), S. 172-177
ISSN:
1432-2218
Keywords:
Splenectomy
;
Laparoscopy
;
Embolization
;
Laparoscopic splenectomy
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract We describe the clinical course of 23 patients considered for laparoscopic splenectomy. One patient was excluded on the basis of preoperative angiography findings, and two (9%) were converted to open surgery. In the remaining 20 patients who successfully underwent laparoscopic splenectomy, no mortality was reported; four postoperative complications (20% morbidity) occurred. Mean operating time was 3 h 35 min (135–300 min). After a mean postoperative stay of 3.9 days (2–9 days), all patients except two were back to normal activities within 2 weeks of hospital discharge. Preoperative splenic artery embolization, begun with the third patient, helped to reduce operative blood loss and made the procedure easier to perform. Laparoscopic splenectomy has become our procedure of choice for elective removal of normalsized (〈11 cm long) or moderately enlarged (11–20 cm long) spleens.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00191961
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