Laparoscopic splenectomy

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

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

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 - Jan 1 1996

ASJC Scopus subject areas

  • Surgery

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