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Updated: Jun 26, 2026

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

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[Laparoscopic splenectomy--a case control study].

Mette W Christoffersen1, Orhan Bulut, Per Jess

  • 1Hillerød Hospital, Kirurgisk Klinik, Nedre Kirurgi, Hillerød. mette.christoffersen@live.dk

Ugeskrift for Laeger
|January 29, 2009
PubMed
Summary

Laparoscopic splenectomy (LS) offers a shorter hospital stay and reduced blood loss compared to open splenectomy (OS). While LS takes longer, it is a safe and favorable spleen surgery option, except for significant spleen enlargement.

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Area of Science:

  • Surgical innovation
  • Minimally invasive surgery
  • Gastrointestinal surgery

Background:

  • Laparoscopic splenectomy (LS) is an emerging standard for spleen disease treatment.
  • Open splenectomy (OS) has been the traditional approach.
  • This study compares initial LS outcomes with OS.

Purpose of the Study:

  • To evaluate the safety and efficacy of LS.
  • To compare LS with OS in elective splenectomy.
  • To assess outcomes including operation time, blood loss, and recovery.

Main Methods:

  • Prospective study design.
  • Comparison of 12 elective LS cases with 12 matched OS controls.
  • Data collection on operative and postoperative parameters.

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Last Updated: Jun 26, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Main Results:

  • LS had a significantly longer operation time (p < 0.01).
  • LS resulted in significantly lower intra-operative blood loss (p < 0.001).
  • LS led to a significantly shorter admission period (median 2 vs. 4 days, p < 0.01).
  • More accessory spleens were identified during LS (p = 0.4).
  • A trend towards fewer postoperative complications was observed with LS (p = 0.35).

Conclusions:

  • LS is a safe and favorable procedure for elective splenectomy, particularly when splenomegaly is not pronounced.
  • LS offers benefits such as reduced blood loss and shorter hospital stays.
  • Consideration of LS as a standard procedure in Denmark is recommended, potentially requiring centralized operations.