Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Laparoscopic splenectomy in childhood

B M Smith1, K P Schropp, T E Lobe

  • 1University of Tennessee, Memphis/LeBonheur Children's Medical Center, St Jude Children's Research Hospital.

Journal of Pediatric Surgery
|August 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Comparing perceptions of operational inefficiencies among clinical healthcare workers by professional role.

Applied ergonomics·2024
Same author

Adolescent inguinal hernia repair: a review of the literature and recommendations for selective management.

Hernia : the journal of hernias and abdominal wall surgery·2022
Same author

Prevalence and predictors of airflow obstruction in an HIV tertiary care clinic in Montreal, Canada: a cross-sectional study.

HIV medicine·2019
Same author

Selective Lesioning of Nuclear Factor-κB Activated Cells in the Nucleus Accumbens Shell Attenuates Alcohol Place Preference.

Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology·2017
Same author

Implementing a declination form programme to improve influenza vaccine uptake by staff in Department of Veterans Affairs spinal cord injury centres: a pilot study.

The Journal of hospital infection·2015
Same author

Performance of recombinant inbred lines in Brussels sprouts (Brassica oleracea var. gemmifera).

TAG. Theoretical and applied genetics. Theoretische und angewandte Genetik·2013

This study details a laparoscopic splenectomy technique for children, offering a minimally invasive approach for hematologic disorders. The method involves specialized port placement and stapling for spleen removal, with a high success rate.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Splenectomy is a common surgical procedure for various pediatric hematologic disorders.
  • Laparoscopic techniques offer potential advantages over open surgery, including reduced pain and faster recovery.
  • Standardized laparoscopic splenectomy protocols are crucial for consistent outcomes in pediatric patients.

Purpose of the Study:

  • To describe a specific technique for performing laparoscopic splenectomy in children.
  • To evaluate the safety and efficacy of this technique in a pediatric population.
  • To highlight modifications for specific conditions like hereditary spherocytosis.

Main Methods:

  • Utilized a five-port technique, including a 12-mm port for an endoscopic stapler.

Related Experiment Videos

  • Employed patient positioning (supine and lateral decubitus) to facilitate access and dissection.
  • Divided short gastric vessels and splenic hilum using clips and an EndoGIA stapler.
  • Enclosed the spleen in a reinforced sac for safe exteriorization and morcellation.
  • Performed concomitant cholecystectomy when indicated for hereditary spherocytosis with gallstones.

    • Main Results:

    • The described laparoscopic splenectomy technique was successfully performed in six pediatric patients with hematologic disorders without complications.
    • One patient required conversion to open splenectomy due to difficulties achieving adequate hemostasis.
    • The technique demonstrated feasibility and safety in the pediatric population.

    Conclusions:

    • Laparoscopic splenectomy is a viable and safe surgical option for children with hematologic disorders.
    • The described technique, utilizing specific port placement and stapling methods, is effective.
    • Careful patient selection and surgeon experience are important for successful outcomes, particularly in managing hemostasis.