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Technique of laparoscopic splenectomy with a powered vascular linear stapler
W F Miles1, J D Greig, R G Wilson
1Department of Surgery, Western General Hospital, Edinburgh, UK.
The British Journal of Surgery
|September 1, 1996
Summary
Laparoscopic splenectomy is a feasible and safe surgical option for spleen removal, even though it is technically challenging. Experienced surgeons can perform this procedure without associated mortality.
Area of Science:
- Surgical innovation
- Minimally invasive surgery
- Gastrointestinal surgery
Background:
- Laparoscopic splenectomy's benefits and morbidity remain largely unknown.
- Spleen removal is indicated for various hematologic and oncologic conditions.
Purpose of the Study:
- To evaluate the feasibility, safety, and outcomes of laparoscopic splenectomy.
- To report a series of consecutive laparoscopic splenectomy cases.
Main Methods:
- A series of 28 patients underwent laparoscopic splenectomy.
- A four-cannula technique was used with the patient in the right lateral position.
- Vascular isolation was achieved using an Endo-GIA stapler; spleen removal involved morselation or incision.
Main Results:
- The last 14 procedures were completed successfully with a mean operating time of 105 minutes.
- Hospital discharge occurred within a median of 3 days.
- One patient experienced deep venous thrombosis post-operation, requiring readmission.
Conclusions:
- Elective laparoscopic splenectomy is a feasible and safe procedure when performed by experienced laparoscopic surgeons.
- The operation is technically demanding but can be performed without associated mortality.
- Further studies are needed to fully elucidate benefits and long-term morbidity.