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Related Experiment Video

Updated: Jun 13, 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

Laparoscopic splenectomy: 3 ports are enough.

Bong-Hyeon Kye1, In-Soo Park, Jun-Gi Kim

  • 1Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|April 16, 2010
PubMed
Summary

Minimally invasive laparoscopic splenectomy can be achieved with three trocars. Adjusting patient posture is key to this least invasive approach, offering a promising alternative for patients.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Techniques
  • Gastrointestinal Surgery

Background:

  • Laparoscopic splenectomy is a common surgical procedure.
  • Advancements in technology and surgical experience necessitate a re-evaluation of least invasive techniques.
  • Minimally invasive approaches aim to reduce patient morbidity.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of a 3-port laparoscopic splenectomy.
  • To compare the efficacy of different trocar numbers and patient postures in laparoscopic splenectomy.
  • To establish a consensus on the least invasive laparoscopic splenectomy technique.

Main Methods:

  • Retrospective analysis of 41 patients undergoing laparoscopic splenectomy between 1994 and 2007.
  • Patients were divided into three groups based on trocar number: 5-port (n=11), 4-port (n=21), and 3-port (n=9).

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Last Updated: Jun 13, 2026

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  • Patient posture was modified: supine (5-port), semilateral (4-port), and true lateral (3-port).

    • Main Results:

    • The 3-port group demonstrated a significantly shorter operation time compared to the 5-port and 4-port groups (P<0.001).
    • No significant differences were observed in other perioperative parameters across the groups.
    • The 3-port technique with modified patient posture was found to be highly effective.

    Conclusions:

    • A 3-port laparoscopic splenectomy is a viable and promising minimally invasive option.
    • Optimizing patient posture is crucial for successful and least invasive 3-port laparoscopic splenectomy.
    • This technique represents a significant advancement in minimizing surgical invasiveness.