Splenectomy

Eduardo M. Targarona, Carlos Rodriguez Luppi, Julio Lopez Monclova, Carmen Balague, Manuel Trias

Research output: Chapter in BookChapterResearchpeer-review

Abstract

© 2014 Springer Japan. All rights reserved. Multiport laparoscopic splenectomy is the current standard technique for spleen removal. However, the concept of minimally invasive surgery has progressed to natural orifices translumenal endoscopic surgery and single-port access (SPA). A concept of reduced port laparoscopic surgery has emerged trying to overcome the difficulties of SPA. The best indication for single-port or reduced port laparoscopic splenectomy is slim patients with normal or slightly enlarged spleen. Splenomegaly or liver cirrhosis are not an absolute contraindication but may increase the technical difficulty. Massive splenomegaly is a formal contraindication. These two options offer optimal aesthetic outcomes with the counterpart of increased technical difficulty. Optimal technological resources, proper patient selection with adequate preoperative information and technical skill training are of paramount importance to assure the best clinical outcome. However, clearly-defined clinical advantages of these approaches are not well established and we should wait for the outcome of proper, statistically-powered clinical studies before drawing any definitive conclusions.
Original languageEnglish
Title of host publicationReduced Port Laparoscopic Surgery
Pages271-281
Number of pages10
DOIs
Publication statusPublished - 1 May 2014

Keywords

  • Reduced port laparoscopic surgery
  • Single-port laparoscopic surgery
  • Splenectomy

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