ArticleAnnals of the Royal College of Surgeons of England2015
Laparoscopic splenectomy is emerging 'gold standard' treatment even for massive spleens.
Article in Annals of the Royal College of Surgeons of England, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Laparoscopic versus open splenectomy in non-traumatic pediatric patients: a systematic review and meta-analysis.Pediatric surgery international · 2025Pooled it
- Towards cost saving in surgery without compromising safety: stapleless laparoscopic splenectomy in a developing country-a prospective cohort study.BMJ open quality · 2023Trial
- Laparoscopic splenectomy for massive splenomegaly: the "splenic no-touch" technique for hilar control by anterior lienorenal approach.Langenbeck's archives of surgery · 2023Article
- Article
- Are there any limits for laparoscopy in splenomegaly? Our experience.Updates in surgery · 2021Article
- Laparoscopic partial splenectomy using the harmonic scalpel for parenchymal transection: two case reports and review of the literature.Acta bio-medica : Atenei Parmensis · 2021Review
- Abdominopelvic ectopic spleen with a comprehensive imaging examination: a case report.The Journal of international medical research · 2021Review
- Efficacy and safety of laparoscopic splenectomy for hypersplenism secondary to portal hypertension after transjugular intrahepatic portosystemic shunt.BMC gastroenterology · 2021Article
- Article
- Fast-track care with intraoperative blood salvage in laparoscopic splenectomy.Scientific reports · 2019Article
- Prediction of Technical Difficulties in Laparoscopic Splenectomy and Analysis of Risk Factors for Postoperative Complications in 468 Cases.Journal of clinical medicine · 2018Article
- Quest for the optimal technique of laparoscopic splenectomy - vessels first or hilar transection?Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2018Article
- Laparoscopic splenectomy for a simultaneous wandering spleen along with an ectopic accessory spleen. Case report and review of the literature.International journal of surgery case reports · 2018Article
- Article
- Role of Laparoscopic Splenectomy in Elderly Immune Thrombocytopenia.Open medicine (Warsaw, Poland) · 2016Article
- Therapeutic approaches in myelofibrosis and myelodysplastic/myeloproliferative overlap syndromes.OncoTargets and therapy · 2016Review
- Laparoscopic Splenectomy for Trauma.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSince its first description by Delaitre and Maignien in 1991, laparoscopic splenectomy (LS) has evolved as treatment of choice for mild-to-moderately-enlarged spleens and for benign haematological disorders. LS is a challenge if massive spleens or malignant conditions necessitate treatment, but we report our method and its feasibility in this study.
methodsWe undertook a retrospective study of prospectively collected data of all elective splenectomies carried out in our firm of upper gastrointestinal surgeons from June 2003 to June 2012. Only patients opting for elective LS were included in this study.
resultsFrom June 2003 to June 2012, elective splenectomy was carried out in 80 patients. Sixty-seven patients underwent LS and 13 underwent open splenectomy (OS). In the LS group, there were 38 males and 29 females. Age ranged from 6 years to 82 years. Spleen size in the LS group ranged from ≤11 cm to 27.6 cm. Twelve patients had a spleen size of >20 cm. Weight ranged from 35 g to 2,400 g. Eighteen patients had a spleen weight of 600-1,600 g and eight had a spleen weight >1,600 g. Operating times were available for 56 patients. Mean operating time for massive spleens was 129.73 min. There was no conversion to OS. There were no major complications.
conclusionsWith improved laparoscopic expertise and advancing technology, LS is safe and feasible even for massive spleens and splenic malignancies. It is the emerging 'gold standard' for all elective splenectomies and has very few contraindications.
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