Laparoscopic surgery of the spleen: state of the art

Abstract

Although LS continues to pose certain technical challenges--such as management of the massive spleen, specimen extraction, and identification of remotely located accessory spleens--its advantages over OS in terms of faster postoperative recovery, shorter hospital stay, and equivalent or lower perioperative morbidity are now well established. Indications for LS and more laparoscopic spleen-conserving surgery are likely to broaden.

Single incision approach for splenic diseases: a preliminary report on a series of 8 cases

“…When approaching the spleen through a single incision, we tried to mimic the technique that we had applied in a series of more than 360 cases of LS with excellent clinical results [14]. In the technique described herein, we placed the patients in full lateral decubitus because this position is a valuable aid in dissection maneuvers.…”

Laparoscopic splenectomy for lymphoproliferative disease

“…Extensive experience with laparoscopic splenectomy at many centers attests to its utility for a wide variety of benign hematologic diseases [4,7,19,20]. This documented success and high patient acceptance has fostered its emergence as the preferred approach for elective splenectomy in normal-sized spleens [27].…”

Torsion of Accessory Spleen- A Rare Cause of Acute Abdomen in Pregnancy: A Case Report.

“…It is the most common congenital anomaly of splenic development. Over 80% of accessory spleens are found in the region of the splenic hilum and vascular pedicle [6] .…”