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Updated: May 10, 2026
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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Reduced port laparoscopic splenectomy using a newly developed multichannel port: a pilot study
Jae Hyun Han1, Gun Hyung Na, Ho Joong Choi
1Department of Surgery, Seoul St.Mary's Hospital, College of Medicine, The Catholic University of Korea , Seoul , Korea.
Summary
Dual-incision laparoscopic splenectomy (DILS) is a cost-effective reduced port surgery. This technique offers similar surgical outcomes to conventional laparoscopic splenectomy (CLS) but at a lower operative cost.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Gastrointestinal Surgery
Background:
- Conventional laparoscopic splenectomy (CLS) involves multiple incisions.
- Dual-incision laparoscopic splenectomy (DILS) utilizes a multichannel trocar for reduced port access.
- Evaluating DILS requires comparison with CLS in terms of outcomes and cost.
Purpose of the Study:
- To introduce and evaluate the dual-incision laparoscopic splenectomy (DILS) technique.
- To compare surgical outcomes and operative costs of DILS versus CLS.
- To assess the feasibility and cost-effectiveness of DILS in laparoscopic splenectomy.
Main Methods:
- Retrospective analysis of medical records from 53 patients.
- Comparison between CLS (four trocars) and DILS groups.
- Data collected on operative time, transfusion rates, postoperative pain, hospital stay, complications, and operative cost.
Main Results:
- No significant difference in operative time between DILS and CLS.
- Intraoperative transfusion rates for red blood cell substitution were comparable.
- Postoperative pain, hospital stay, and overall complication rates showed no statistical difference between the groups.
- Operative cost was significantly lower in the DILS group compared to the CLS group.
Conclusions:
- Dual-incision laparoscopic splenectomy (DILS) is a feasible surgical approach.
- DILS is a cost-effective method for laparoscopic splenectomy.
- DILS represents a viable reduced port surgery option.
