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Updated: Aug 30, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Staple line bleeding following laparoscopic splenectomy: intraoperative prevention and postoperative management with
Kent W Kercher1, Yuri W Novitsky, Donald R Czerniach
1Department of Surgery, University of Massachusetts Medical School, Worcester, MA 01655, USA. novitsky@ummhc.org
Abstract:
Laparoscopic splenectomy (LS) has become the procedure of choice for a variety of hematologic disorders and non-traumatic splenic pathology. Perioperative hemorrhage remains one of the most feared complications. We report 2 cases of postoperative splenic artery hemorrhage following vascular division using 2.5-mm Endo-GIA stapling cartridges. In this paper we identify and discuss important technical aspects of obtaining hilar vascular control during LS and report the first use of postoperative splenic artery embolization to control staple line bleeding following LS.
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