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[Splenectomy by celioscopy. Experience of 20 cases]
E Poulin1, C Thibault, J Mamazza
1Service de Chirurgie, Hôpital du Saint-Sacrement, Université Laval, Chemin Sainte-Foy, Québec, Canada.
Annales De Chirurgie
|January 1, 1993
Summary
Laparoscopic splenectomy is a safe and effective procedure for removing spleens. Preoperative splenic artery embolization can simplify the surgery and reduce blood loss.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Context:
- Laparoscopic splenectomy is an alternative to open surgery for spleen removal.
- Evaluating the feasibility and outcomes of laparoscopic splenectomy is crucial for surgical practice.
Purpose:
- To describe the clinical course and outcomes of patients undergoing laparoscopic splenectomy.
- To assess the impact of preoperative splenic artery embolization on laparoscopic splenectomy.
Summary:
- Out of 20 patients considered, 17 successfully underwent laparoscopic splenectomy with no mortality.
- Postoperative complications occurred in 23.5% of patients, with a mean operating time of 3 hours 40 minutes.
- Preoperative splenic artery embolization was introduced and found to reduce blood loss and procedural difficulty.
Impact:
- Laparoscopic splenectomy is now the preferred method for elective removal of normal-sized or moderately enlarged spleens.
- The procedure allows for a short hospital stay and rapid return to normal activities for most patients.