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- Article] Laparoscopic splenectomy. First experiences with a 3-trocar-technique and the 'hanging-spleen-maneuver'
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DocNo of ILP: 5536
Doc. Type: Article
Title: Laparoscopic splenectomy. First experiences with a 3-trocar-technique and the 'hanging-spleen-maneuver'
Authors: Seelig, MH; Senninger, N; Kocher, T
Full Name of Authors: Seelig, MH; Senninger, N; Kocher, T
Keywords by Author: splenectomy; laparoscopic procedure
Keywords Plus: IDIOPATHIC THROMBOCYTOPENIC PURPURA; HEMATOLOGICAL DISEASES
Abstract: Aims: Laparoscopic splenectomy has been established as standard procedure for elective splenectomy and is performed for a variety of haematological diseases. However, different techniques have been used and a four- to five trocar technique is applied in most instances. We report our experience with a three-trocar technique using the triangular liver retractor and the so-called "hanging spleen" maneuver. Methods: Data were obtained from a prospectively collected computer database of all patients who underwent elective laparoscopic splenectomy between April 2001 and July 2003. Results: The study population consisted of 26 patients (14 men, 12 women, mean age: 45 years; range: 16-75 years). Median operative time was 140 min (85-310 min). There was one conversion (3.8%) due to a suspected malignancy, which was finally not confirmed. A fourth trocar had to be placed in two cases (10%) due to a large left lobe of the liver. In two patients a small midline incision was made to extract the spleen in toto for pathohistological examination due to a splenic metastasis. In the remaining cases the spleen was morcellated in an endobag. Accessory spleens were found in 1 patient (3.8%). There were two bleedings following operation, which required laparotomy in one patient. There were no deaths (0%). The median postoperative hospital stay was 7 days (range 3-17). Conclusions: Laparoscopic splenectomy can be performed safely in the vast majority of patients. The described technique using three trocars with the so-called "hanging spleen" maneuver can be used in about 90% of cases.
Cate of OECD: Clinical medicine
Year of Publication: 2004
Business Area: other
Detail Business: medicine & science
Country: Germany
Study Area: software, database, patient, disease
Name of Journal: ZENTRALBLATT FUR CHIRURGIE
Language: German
Country of Authors: Univ Klinikum Munster, Klin & Poliklin Allgemeine Chirurg, D-48129 Munster, Germany
Press Adress: Seelig, MH (reprint author), Univ Klinikum Munster, Klin & Poliklin Allgemeine Chirurg, Waldeyerstr 1, D-48129 Munster, Germany.
Email Address: smseelig@gmx.net
Citaion:
Funding:
Lists of Citation: Ailawadi G, 2002, SURGERY, V132, P689, DOI 10.1067/msy.2002.127686; Borrazzo EC, 2003, SURG ENDOSC, V17, P918, DOI 10.1007/s00464-002-8946-z; Brodsky JA, 2002, SURG ENDOSC, V16, P851, DOI 10.1007/s004640080095; Corcione F, 2002, SURG ENDOSC, V16, P972, DOI 10.1007/s00464-001-9007-8; DELAITRE B, 1991, PRESSE MED, V20, P2263; Delaitre B, 2000, ANN CHIR, V125, P522, DOI 10.1016/S0003-3944(00)00236-4; Donini A, 1999, SURG ENDOSC-ULTRAS, V13, P1220, DOI 10.1007/PL00009625; EMMERMANN A, 1995, SURG ENDOSC-ULTRAS, V9, P924; Friedman RL, 1997, J AM COLL SURGEONS, V185, P49, DOI 10.1016/S1072-7515(01)00880-8; Gossot D, 1999, SURG ENDOSC-ULTRAS, V13, P21, DOI 10.1007/s004649900890; Katkhouda N, 1998, ANN SURG, V228, P568, DOI 10.1097/00000658-199810000-00013; Marassi A, 1999, SURG ENDOSC-ULTRAS, V13, P17, DOI 10.1007/s004649900889; Meyer G, 1998, SURG ENDOSC-ULTRAS, V12, P1348, DOI 10.1007/s004649900854; Miles WFA, 1996, BRIT J SURG, V83, P1212, DOI 10.1046/j.1365-2168.1996.02487.x; Pace DE, 2003, SURG ENDOSC, V17, P95, DOI 10.1007/s00464-002-8805-y; Patel AG, 2003, ANN SURG, V238, P235, DOI 10.1097/01.sla.0000080826.97026.d8; Peitgen K, 2002, ZBL CHIR, V127, P543, DOI 10.1055/s-2002-32621; Romano F, 2002, SURG ENDOSC, V16, P1608, DOI 10.1007/s00464-001-9145-z; Rosen M, 2002, ARCH SURG-CHICAGO, V137, P1348, DOI 10.1001/archsurg.137.12.1348; Rosin D, 2001, CHIRURG, V72, P368; Torelli P, 2002, SURG ENDOSC, V16, P965, DOI 10.1007/s00464-001-9011-z
Number of Citaion: 21
Publication: JOHANN AMBROSIUS BARTH VERLAG MEDIZINVERLAGE HEIDELBERG GMBH
City of Publication: STUTTGART
Address of Publication: RUEDIGERSTR 14, D-70469 STUTTGART, GERMANY
ISSN: 0044-409X
29-Character Source Abbreviation: ZBL CHIR
ISO Source Abbreviation: Zent.bl. Chir.
Volume: 129
Version: 5
Start of File: 387
End of File: 390
DOI: 10.1055/s-2004-8220359
Number of Pages: 4
Web of Science Category: Surgery
Subject Category: Surgery
Document Delivery Number: 864KF
Unique Article Identifier: WOS:000224631700008
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