Laparoscopic Splenectomy

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Laparoscopic Splenectomy

In the 25 years since the first reported laparoscopic splenectomy (LS)(1) developments in information exchange, technology and healthcare provision have influenced the implementation of LS.. An increasing focus on outcomes and cost in healthcare requires a more rigorous assessment of minimally invasive techniques beyond simple demonstration of technical feasibility. Although there is an increas...

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Single Access Laparoscopic Splenectomy

BACKGROUND Laparoscopic splenectomy has been performed in a standard fashion with 4 to 5 trocars since the early 1990s. Single access laparoscopy has recently gained interest, but single access laparoscopic splenectomy has not been reported to date. It has the possible benefits of less pain, faster recovery, better cosmesis, with theoretically similar costs to that of traditional trocars. MET...

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Laparoscopic Splenectomy Using LigaSure

BACKGROUND Laparoscopic splenectomy (LS) has become the standard approach for most splenectomy cases. Bleeding is the main complication and cause for conversion. We present our experience with the LigaSure and discuss its advantage as a vessel sealing system in achieving safe vascular control. METHOD Over a 3-year period, we performed 12 consecutive LS using LigaSure at a single center. A lit...

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Laparoscopic Splenectomy in Children

BACKGROUND Laparoscopic splenectomy is being performed more commonly in children, although its advantages are not clear. We sought to determine whether laparoscopic splenectomy was superior to open splenectomy. METHODS The records of all pediatric patients undergoing splenectomy without significant comorbidities over a 12-year period were examined. The patients were divided into those undergo...

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Transvaginal Mini-Laparoscopic Splenectomy

We aimed to perform a more and more minimal invasive splenectomy by only through two 5 mm umbilical trocars and one vaginal trocar. A 43-year-old female (BMI 31 kg/m(2), ASA II) with immune thrombocytopenic purpura was planned for splenectomy. She had a history of a previous cesarean section for three times. Two 5 mm trocars were inserted separately through the umbilicus. We did not use any sin...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1998

ISSN: 0003-4932

DOI: 10.1097/00000658-199810000-00013