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Updated: May 8, 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
[Can videolaparoscopic access be used as routine in splenectomies?]
Eduardo Neubarth Trindade1, Manoel Roberto Maciel Trindade, Ricardo Francio
1Serviço de Cirurgia Digestiva do Hospital de Clínicas de Porto Alegre e no Departamento de Cirurgia da Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil. eduardontrindade@yahoo.com.br
Summary
Laparoscopic splenectomy offers a safe and effective minimally invasive surgical option for various hematologic conditions. This approach demonstrates high success rates and fewer complications compared to traditional open surgery.
Area of Science:
- Minimally Invasive Surgery
- Gastroenterology
- Hematology
Context:
- Laparoscopic splenectomy is an established alternative to open surgery for elective splenectomy.
- It is frequently indicated for hematologic diseases unresponsive to medical management.
- Minimally invasive techniques offer significant patient benefits over laparotomy, including reduced pain and faster recovery.
Purpose:
- To evaluate the outcomes of laparoscopic splenectomy in a university hospital setting.
- To analyze pre-, intra-, and post-operative data for patients undergoing this procedure.
- To assess the short-term efficacy and safety of laparoscopic splenectomy.
Summary:
- A case series of 44 laparoscopic splenectomies between 2005 and 2012 was analyzed.
- Indications included idiopathic thrombocytopenic purpura (56.8%), autoimmune hemolytic anemia (13.6%), and spherocytosis (11.3%).
- Conversion to open surgery occurred in 13.6% of cases, primarily due to bleeding. Mean operative time was 166.7 minutes, with an average hospitalization of 12 days. Post-operative complications were low (9.1%), and 88% of patients showed a positive short-term response.
Impact:
- Laparoscopic splenectomy is a safe and effective procedure for major splenectomy indications.
- This minimally invasive approach can be routinely implemented in clinical practice.
- Improved patient outcomes and reduced healthcare resource utilization are key benefits.
