Laparoscopic Splenectomy

Complications and short‐term outcomes associated with single‐port laparoscopic splenectomy in dogs

“…In these reports and others, authors started to make observations regarding case selection criteria for LS, albeit based on small case numbers. These suggestions included the avoidance of cases with diagnosed hemoabdomen and those with masses greater than 5‐6 cm in diameter . Similarly, in human medicine, large splenic size has also been recognized as a risk factor for conversion in some studies of patients undergoing LS, although sufficient data appear to be lacking to draw that conclusion currently for patients undergoing SPLS specifically.…”

“…These suggestions included the avoidance of cases with diagnosed hemoabdomen and those with masses greater than 5-6 cm in diameter. 7,27 Similarly, in human medicine, large splenic size has also been recognized as a risk factor for conversion in some studies of patients undergoing LS, 28,29 although sufficient data appear to be lacking to draw that conclusion currently for patients undergoing SPLS specifically. Subsequent to the description of multiport total LS in dogs has come a report describing a hybrid LAS technique that employs a wound retraction device through which the spleen is partially exteriorized.…”

Effect of patient rotation on ovary observation during laparoscopic ovariectomy in dogs

“…Semilateral or lateral positions have been recommended for laparoscopic access to other organs, namely for diagnosis of the gastrointestinal tract, pancreatic surgery, kidney biopsies, and ureteronephrectomy . In addition, a semisternal or sternal position has been advocated for laparoscopic adrenalectomy and laparoscopic splenectomy . During dissection of the head of the spleen, dorsal recumbency with tilt toward the patient's right side or with the patient rerolled into lateral or near‐lateral recumbency reportedly improves access to the area of the splenic head and short gastric vessels .…”

“…In addition, a semisternal or sternal position has been advocated for laparoscopic adrenalectomy and laparoscopic splenectomy . During dissection of the head of the spleen, dorsal recumbency with tilt toward the patient's right side or with the patient rerolled into lateral or near‐lateral recumbency reportedly improves access to the area of the splenic head and short gastric vessels . Unfortunately, with the exception of laparoscopic adrenalectomy, objective evaluation regarding the optimal recumbence degree position for these procedures is still lacking.…”

Minimally invasive splenectomy is associated with a low perioperative complication rate and short operative time in cats

“…of splenic pathologies, with mast cell tumor (MCT), lymphoma, hemangiosarcoma, and myeloproliferative disease being most common. 2,8 Minimally invasive splenectomy became an established standard of care in the early 1990s to address a number of surgical splenic pathologies in humans. 9 In humans, total laparoscopic splenectomy (TLS) has been shown to decrease the length of stay in hospital, improve patient morbidity, and reduce postoperative pain and complications while preserving and enhancing cosmesis.…”