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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Laparoendoscopic single site (LESS) splenectomy with a conventional laparoscope and instruments
Modesto J Colon1, Dana Telem, Edward Chan
1Division of General Surgery, Department of Surgery, Mount Sinai School of Medicine, New York, New York, USA.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|October 12, 2011
Summary
Laparoendoscopic single-site surgery (LESS) splenectomy is feasible and safe using conventional instruments. This technique, demonstrated in two cases, offers a viable minimally invasive surgical option for splenectomy.
Area of Science:
- Minimally invasive surgery
- Surgical techniques
- Laparoscopic surgery
Background:
- Laparoendoscopic single-site surgery (LESS) splenectomy was performed in two patients.
- One patient had idiopathic thrombocytopenia purpura (ITP), and the other had sickle cell disease.
Observation:
- A novel internal retraction device was utilized, eliminating the need for a fourth trocar.
- Conventional laparoscopes and instruments were employed successfully.
Findings:
- Both LESS splenectomy and a combined LESS splenectomy and cholecystectomy were completed without complications.
- Operative times were 160 minutes for splenectomy and 216 minutes for the combined procedure.
Implications:
- LESS splenectomy is a safe and feasible procedure.
- Specialized articulating instruments are not essential for successful LESS splenectomy.
