Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: Jul 7, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Simple method of laparoscopic splenectomy.

Masaji Hashimoto1, Masamichi Matsuda, Goro Watanabe

  • 1Department of Digestive Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo, 105-8470, Japan. masajih-ind@umin.ac.jp

Surgical Endoscopy
|February 26, 2008
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Clinical impact of underlying end-stage renal disease in patients undergoing resection for hepatic malignancy.

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract·2026
Same author

Laparoscopic Full-Thickness Cholecystectomy and Para-Aortic Lymph Node Excision for Metachronous Metastases From Renal Cell Carcinoma: A Case Report.

Asian journal of endoscopic surgery·2026
Same author

Feasibility and safety of a modified "twin U-stitch" pancreaticogastrostomy in minimally invasive pancreaticoduodenectomy.

Surgery·2026
Same author

Development of novel criteria for drain removal after pancreaticogastrostomy in pancreaticoduodenectomy: a retrospective analysis and validation study at a single institution.

Langenbeck's archives of surgery·2026
Same author

Prognostic Impact of the Preoperative Habitual Alcohol Consumption in Patients Undergoing Surgical Resection for Hepatocellular Carcinoma.

Journal of hepato-biliary-pancreatic sciences·2026
Same author

Progressive Estrogen Receptor Acquisition During Malignant Transformation: Insights From MCN-Derived Anaplastic Pancreatic Carcinoma.

Pathology international·2025

This study presents a simple laparoscopic splenectomy technique, achieving successful spleen removal in all 46 patients without conversion to open surgery. Key elements include specific positioning and stapling methods for improved outcomes.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Techniques
  • Gastrointestinal Surgery

Background:

  • Laparoscopic splenectomy, introduced in 1991, has not achieved widespread adoption due to technical challenges.
  • Difficulties in spleen manipulation and hemorrhage control hinder its standardization.
  • A novel, simplified laparoscopic splenectomy method is proposed to address these challenges.

Purpose of the Study:

  • To present a simple and effective method for laparoscopic splenectomy.
  • To overcome the technical difficulties associated with laparoscopic spleen removal.
  • To improve the safety and efficiency of laparoscopic splenectomy.

Main Methods:

  • A four-component technique was employed in 46 patients between 1994 and 2006.
  • Key features include lateral patient positioning, use of cherry dissectors for exposure, limited gastrosplenic ligament division, and stapling of the splenic hilus.

More Related Videos

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Related Experiment Videos

Last Updated: Jul 7, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

  • The procedure was refined over time, with a focus on the last 3 years of patient data.

    • Main Results:

    • All 46 patients successfully underwent laparoscopic splenectomy without conversion to open surgery.
    • Postoperative bleeding occurred in three patients from the stapled splenic artery stump.
    • In the most recent 28 patients, mean operative time was 71 minutes with only one instance of postoperative bleeding, managed laparoscopically.

    Conclusions:

    • The described method, utilizing cherry dissectors for exposure and stapling of the splenic hilus with the gastrosplenic ligament, is crucial for successful laparoscopic splenectomy.
    • This technique simplifies the procedure and enhances safety.
    • The findings suggest a viable alternative to open splenectomy for selected patients.