Abstract
Background. In this study of laparoscopic splenectomy (LS), we evaluate prospectively gathered
perioperative patient data and review lessons learned in the evolution of this procedure.
Methods. At 2 university medical centers between November 1993 and March 2000, there were
203 patients (122 female patients and 81 male patients) who underwent LS after preoperative
evaluation. Results. LS was successfully completed in 197 patients (97%). The mean operative time was
145.5 minutes and the length of stay averaged 2.7 days with 143 (70.4%) staying less
than 48 hours. The most common indication was idiopathic thrombocytopenic purpura
(ITP). Six patients required conversion to open splenectomy (OS), with only 2 conversions
in the last 163 cases. No deaths were attributed to the procedure. Complications occurred
in 19 patients (9.3%). Thirty accessory spleens were identified in 25 patients (12.3%).
Seventeen patients (8.4%) underwent concomitant procedures, most commonly cholecystectomy.
Conclusions. LS by the lateral approach is both safe and feasible in patients of all ages. (Surgery
2000;128:660-7.)
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References
- Laparoscopic splenectomy.Br J Surg. 1992; 79: 1334
- Laparoscopic splenectomy.Surg Endosc. 1992; 6: 183-185
- The lateral approach to laparoscopic splenectomy.Am J Surg. 1997; 173: 126-130
- Laparoscopic splenectomy in patients with hematologic diseases.Ann Surg. 1996; 224: 19-28
- Laparoscopic splenectomy.Surg Endosc. 1994; 8: 931-933
- Comparative analysis of laparoscopic versus open splenectomy.Am J Surg. 1996; 172: 596-601
- Initial experience with the lateral approach for laparoscopic splenectomy in the pediatric age group.Surg Endosc. 1996; 10: 859-861
- Laparoscopic splenectomy. Outcome and efficacy in 103 consecutive cases.Ann Surg. 1998; 228: 568-578
- Present status of laparoscopic splenectomy for hematologic diseases: certitudes and unresolved issues.Sem Lap Surg. 1998; 5: 147-167
- Laparoscopic versus open splenectomy.Arch Surg. 1999; 134: 1263-1269
- Splenomegaly should not be considered a contraindication for laparoscopic splenomegaly.Ann Surg. 1998; 228: 35-39
- A new technique for laparoscopic splenectomy with massively enlarged spleens.Am Surg. 1998; 64: 1161-1164
- Laparoscopic splenectomy for ITP. The gold standard.Surg Endosc. 1996; 10: 991-995
- Inadequate detection of accessory spleens and splenosis with laparoscopic splenectomy. A shortcoming of the laparoscopic approach in hematologic diseases.Surg Endosc. 1998; 12: 101-106
- Laparoscopic splenectomy for hematologic malignancies.Surg Endosc. 1999; 13: 865-868
- Splenic artery embolization before laparoscopic splenectomy. An update.Surg Endosc. 1998; 12: 870-875
Article info
Footnotes
*Supported in part by an educational grant from Tyco/U.S. Surgical Corp.
**Reprint requests: A. E. Park, MD, Department of Surgery, Center for Minimally Invasive Surgery, University of Kentucky, C343, 800 Rose St, Lexington, KY 40536-0298.
★Surgery 2000;128:660-7
Identification
Copyright
© 2000 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
