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Updated: Jul 21, 2026
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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Hand-assisted laparoscopic splenectomy for giant spleens
E C Borrazzo1, J M Daly, K P Morrisey
1Department of Surgery, Weill Medical College of Cornell University, 525 E. 68th Street, New York, NY 10021, USA.
Surgical Endoscopy
|March 13, 2003
Summary
Hand-assisted laparoscopic splenectomy is a safe and feasible approach for massive splenomegaly, enabling larger specimen retrieval for accurate histologic study while maintaining recovery benefits.
Area of Science:
- Minimally invasive surgery
- Surgical pathology
Background:
- Laparoscopic splenectomy for massive splenomegaly presents technical challenges.
- Morcellated splenic tissue may compromise histologic analysis.
- Hand-assisted technique offers potential advantages for spleen retrieval.
Purpose of the Study:
- To evaluate the feasibility and safety of hand-assisted laparoscopic splenectomy for massive splenomegaly.
- To assess the adequacy of splenic specimens for histologic examination.
Main Methods:
- Retrospective review of patients undergoing hand-assisted laparoscopic splenectomy for massive splenomegaly.
- Tabulation of demographic, operative, and outcomes data.
Main Results:
- Sixteen patients were included; mean age 56 years.
- Average operative time 240 minutes; median blood loss 425 cc.
- Mean spleen weight 2008 g; average postoperative stay 3.3 days; one complication (6.25%); no mortality.
Conclusions:
- Hand-assisted laparoscopic splenectomy is feasible and safe for massive splenomegaly.
- This technique preserves recovery benefits of minimally invasive surgery.
- Adequate splenic specimens are obtained for histologic study.
