Laparoscopic splenectomy: an evolving technique A comparison between anterior and lateral approaches

Abstract

The lateral approach significantly facilitates the performance of LS compared with the anterior approach.

Laparoscopic splenectomy for non-Hodgkin lymphoma

“…A shortened hospitalization and rapid recovery were added benefits. The lateral position has been shown to be superior to the anterior approach for normalsized spleens [32,33], and our data expand its utility for patients with lymphoma and splenomegaly.…”

Laparoscopic Splenectomy for Benign Hematological Disorders in Adults: A Systematic Review

“…In general, a lateral approach provides better exposure of the splenic hilum and the pancreatic tail because the abdominal viscera are retracted away from the upper-left quadrant by gravity, allowing easier dissection of the splenic hilar structures and greater vascular control (50,51). Other authors maintain that the lateral approach results in reduction of the number of trocars needed, shorter operative time, less intraoperative blood loss, lower conversion rate and shorter postoperative hospital stay (10,52).…”

Laparoscopic surgery of the spleen: state of the art

“…The patient is placed in the right lateral decubitus position over the break in the operating table [39,41,42,43,44,45]. The table is broken 20-30°below level in both the cephalad and caudad portions, and the patient is placed in moderate reverse Trendelenburg position.…”