首页 | 本学科首页   官方微博 | 高级检索  
检索        


Laparoscopic partial splenectomy
Authors:S Uranues  D Grossman  L Ludwig  R Bergamaschi
Institution:(1) Department of Surgery, Lehigh Valley Hospital, Penn State University Clinical Campus, 1240 South Cedar Crest Boulevard, Suite 210, Allentown, PA 18103, USA;(2) Department of Surgery, Medical University of Graz, Graz, Austria
Abstract:Background The immunologic function of the spleen and its important role in immune defense has led to splenic-preserving surgery. This study aimed to evaluate whether laparoscopic partial splenectomy is safe. Methods Data on consecutive patients presenting with localized benign or malignant disease of the spleen were included in a prospective database. The surgical technique consisted of six steps: patient positioning and trocar placement, mobilization of the spleen, vascular dissection, parenchymal resection, sealing/tamponading of the transected edge, and removal of the specimen. Results From 1994 to 2005, 38 patients underwent laparoscopic partial splenectomy. The indications included splenomegaly of unknown origin, splenic cysts, benign tumors (hamartoma), and metastasis from ovarian carcinoma and schwannoma. The median operating time was 110 min (range, 65–148 min). The median length of hospital stay was 5 days (range, 4–7 days). There was no postoperative mortality. Postoperative pleural effusion occurred in two patients. There were no reoperations. Three patients required blood transfusions. Conclusion Laparoscopic partial splenectomy is safe for patients with localized benign or malignant disease of the spleen.
Keywords:Laparoscopic hemisplenectomy  Laparoscopy  Partial resection of the spleen  Splenic preservation
本文献已被 PubMed SpringerLink 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号