Lateral approach for laparoscopic splenectomy

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Laparoscopic splenectomy: comparison between anterior and lateral approaches.

AIM Splenectomy, except for a traumatic purpose, is now performed through a laparoscopic approach. There are mainly two ways for laparoscopic total or partial splenectomies. For the classic anterior dissection of the splenic vessels, patient is placed in supine position and five ports are required to elevate the spleen and proceed to vessel divisions. With a lateral approach of the pedicle, pat...

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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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Laparoscopic splenectomy for hematological disorders.

OBJECTIVES The aim of this prospective study was to evaluate the safety and feasibility of laparoscopic splenectomy (LS) in patients with hematological disorders of the spleen. SUBJECTS AND METHODS Between 1999 and 2001, 15 patients (11 female and 4 male), with a mean age of 30 years, underwent LS after preoperative evaluation. If difficulties were encountered in LS, one trocar site incision ...

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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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ژورنال

عنوان ژورنال: Annals of Laparoscopic and Endoscopic Surgery

سال: 2019

ISSN: 2518-6973

DOI: 10.21037/ales.2019.04.05