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- Title
Minimally invasive splenectomy: an update and review.
- Authors
Gamme, Gary; Birch, Daniel W.; Karmali, Shahzeer
- Abstract
Laparoscopic splenectomy (LS) has become an established standard of care in the management of surgical diseases of the spleen. The present article is an update and review of current procedures and controversies regarding minimally invasive splenectomy. We review the indications and contraindications for LS as well as preoperative considerations. An individual assessment of the procedures and outcomes of multiport laparoscopic splenectomy, hand-assisted laparoscopic splenectomy, robotic splenectomy, natural orifice transluminal endoscopic splenectomy and single-port splenectomy is included. Furthermore, this review examines postoperative considerations after LS, including the postoperative course of uncomplicated patients, postoperative portal vein thrombosis, infections and malignancy.
- Subjects
SPLENECTOMY; LAPAROSCOPIC surgery; MEDICAL care; SURGICAL robots; SURGICAL complications; MINIMALLY invasive procedures; HEALTH outcome assessment
- Publication
Canadian Journal of Surgery, 2013, Vol 56, Issue 4, p280
- ISSN
0008-428X
- Publication type
Article
- DOI
10.1503/cjs.014312