Laparoscopic splenectomy

Robert V Rege, L. T. Merriam, R. J. Joehl

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Dramatic decreases in length of hospital stay and time to complete recovery with laparoscopic cholecystectomy have led to the development of more advanced laparoscopic procedures. The rationale, technique, and early results with laparoscopic splenectomy are described in this article. Laparoscopic splenectomy is a complex procedure with a real potential for significant operative bleeding, but it can be accomplished successfully in greater than 80% of selected patients with minimal blood loss. If successful, length of stay is reduced in most patients to 1 to 3 days, but this benefit is not always seen in patients with complicated medical problems or with massive splenomegaly. The effects of increased blood loss in patients whose operations are converted to open operations are also not yet clear. Laparoscopic splenectomy is a procedure with great potential, but it is still in evolution.

Original languageEnglish (US)
Pages (from-to)459-468
Number of pages10
JournalSurgical Clinics of North America
Volume76
Issue number3
DOIs
StatePublished - 1996

Fingerprint

Splenectomy
Length of Stay
Laparoscopic Cholecystectomy
Splenomegaly
Hemorrhage

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic splenectomy. / Rege, Robert V; Merriam, L. T.; Joehl, R. J.

In: Surgical Clinics of North America, Vol. 76, No. 3, 1996, p. 459-468.

Research output: Contribution to journalArticle

Rege, Robert V ; Merriam, L. T. ; Joehl, R. J. / Laparoscopic splenectomy. In: Surgical Clinics of North America. 1996 ; Vol. 76, No. 3. pp. 459-468.
@article{e2ab0c1a91d64aa390b3a848694b4b3a,
title = "Laparoscopic splenectomy",
abstract = "Dramatic decreases in length of hospital stay and time to complete recovery with laparoscopic cholecystectomy have led to the development of more advanced laparoscopic procedures. The rationale, technique, and early results with laparoscopic splenectomy are described in this article. Laparoscopic splenectomy is a complex procedure with a real potential for significant operative bleeding, but it can be accomplished successfully in greater than 80{\%} of selected patients with minimal blood loss. If successful, length of stay is reduced in most patients to 1 to 3 days, but this benefit is not always seen in patients with complicated medical problems or with massive splenomegaly. The effects of increased blood loss in patients whose operations are converted to open operations are also not yet clear. Laparoscopic splenectomy is a procedure with great potential, but it is still in evolution.",
author = "Rege, {Robert V} and Merriam, {L. T.} and Joehl, {R. J.}",
year = "1996",
doi = "10.1016/S0039-6109(05)70453-9",
language = "English (US)",
volume = "76",
pages = "459--468",
journal = "Surgical Clinics of North America",
issn = "0039-6109",
publisher = "W.B. Saunders Ltd",
number = "3",

}

TY - JOUR

T1 - Laparoscopic splenectomy

AU - Rege, Robert V

AU - Merriam, L. T.

AU - Joehl, R. J.

PY - 1996

Y1 - 1996

N2 - Dramatic decreases in length of hospital stay and time to complete recovery with laparoscopic cholecystectomy have led to the development of more advanced laparoscopic procedures. The rationale, technique, and early results with laparoscopic splenectomy are described in this article. Laparoscopic splenectomy is a complex procedure with a real potential for significant operative bleeding, but it can be accomplished successfully in greater than 80% of selected patients with minimal blood loss. If successful, length of stay is reduced in most patients to 1 to 3 days, but this benefit is not always seen in patients with complicated medical problems or with massive splenomegaly. The effects of increased blood loss in patients whose operations are converted to open operations are also not yet clear. Laparoscopic splenectomy is a procedure with great potential, but it is still in evolution.

AB - Dramatic decreases in length of hospital stay and time to complete recovery with laparoscopic cholecystectomy have led to the development of more advanced laparoscopic procedures. The rationale, technique, and early results with laparoscopic splenectomy are described in this article. Laparoscopic splenectomy is a complex procedure with a real potential for significant operative bleeding, but it can be accomplished successfully in greater than 80% of selected patients with minimal blood loss. If successful, length of stay is reduced in most patients to 1 to 3 days, but this benefit is not always seen in patients with complicated medical problems or with massive splenomegaly. The effects of increased blood loss in patients whose operations are converted to open operations are also not yet clear. Laparoscopic splenectomy is a procedure with great potential, but it is still in evolution.

UR - http://www.scopus.com/inward/record.url?scp=0030000928&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030000928&partnerID=8YFLogxK

U2 - 10.1016/S0039-6109(05)70453-9

DO - 10.1016/S0039-6109(05)70453-9

M3 - Article

C2 - 8669006

AN - SCOPUS:0030000928

VL - 76

SP - 459

EP - 468

JO - Surgical Clinics of North America

JF - Surgical Clinics of North America

SN - 0039-6109

IS - 3

ER -