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Related Experiment Video

Updated: Jun 5, 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 using conventional instruments.

A N Dalvi1, P M Thapar, A A Deshpande

  • 1Department of General Surgery, King Edward VII Memorial Hospital and Seth G.S. Medical College, Mumbai, India.

Journal of Minimal Access Surgery
|January 6, 2011
PubMed
Summary
This summary is machine-generated.

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Laparoscopic splenectomy (LS) is safe and effective using conventional instruments, even without advanced technology. This study demonstrates successful LS outcomes in a developing country, highlighting its feasibility and accessibility for various conditions.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Technology
  • Gastroenterology

Background:

  • Laparoscopic splenectomy (LS) is an established procedure for spleen removal.
  • Technological advancements have expanded LS applications to complex cases like massive splenomegaly and trauma.
  • Access to advanced technology may be limited in developing countries.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of laparoscopic splenectomy (LS) using conventional, reusable instruments in a public teaching hospital.
  • To demonstrate that advanced technology is not essential for performing safe and effective LS.

Main Methods:

  • A retrospective review of 26 patients who underwent LS for hematological disorders between 1998 and 2004.
  • Techniques included electrocoagulation, clips, and intracorporeal knotting for vascular control.
Keywords:
Laparoscopyminimal access surgerysplenectomy

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Last Updated: Jun 5, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
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  • Specimen retrieval was performed via a Pfannensteil incision.
  • Main Results:

    • 85% of patients had spleens weighing over 500g (average 942.55g).
    • The mean operative time was 214 minutes, with a 11.5% conversion rate to open surgery.
    • The average hospital stay was 5.65 days, with no mortality and no recurrence of hematological disease.

    Conclusions:

    • Laparoscopic splenectomy (LS) can be safely and effectively performed using conventional equipment.
    • Advanced technology offers advantages but does not preclude the successful practice of LS in resource-limited settings.