Literature DB >> 9876760

Splenic retrieval following laparoscopic splenectomy.

B J Christensen1, K S Fisher.   

Abstract

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Year:  1998        PMID: 9876760      PMCID: PMC3015314     

Source DB:  PubMed          Journal:  JSLS        ISSN: 1086-8089            Impact factor:   2.172


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Laparoscopic Splenectomy was first described in 1992 by several different authors.[1-3] The technique has been refined over the last few years.[4] We have performed several laparoscopic splenectomies. One frustrating aspect of the procedure is removal of the spleen. The goal in laparoscopic Splenectomy is to perform a safe Splenectomy while minimizing patient discomfort and maximizing cosmesis. In this article we describe our method for extracting the spleen once it has been isolated. After performing a diagnostic laparoscopy, Splenectomy is done in the previously described method.[4] Once the spleen is completely free of attachments, a sturdy extraction bag is placed into the abdomen through the lateral most trocar site. It is imperative that the bag be strong. We prefer the COOK™ bag. The spleen is placed into the bag and the bag drawn out through the trocar site to allow access to the spleen. The bag is opened and the dilatation and curretage (D & C) suction device is introduced into the bag. The suction “trocar” is then used to morcellate the spleen. We have found this to be quicker than manual morcellation. This technique also provides adequate tissue for pathological evaluation. Using this technique allows removal of all splenic tissue without enlarging the trocar site.
  4 in total

1.  Leaning spleen: a new approach to laparoscopic splenectomy.

Authors:  W S Richardson; C D Smith; G D Branum; J G Hunter
Journal:  J Am Coll Surg       Date:  1997-10       Impact factor: 6.113

2.  Laparoscopic splenectomy.

Authors:  B J Carroll; E H Phillips; C J Semel; M Fallas; L Morgenstern
Journal:  Surg Endosc       Date:  1992 Jul-Aug       Impact factor: 4.584

3.  Laparoscopic splenectomy: operative technique and preliminary report.

Authors:  C Thibault; J Mamazza; R Létourneau; E Poulin
Journal:  Surg Laparosc Endosc       Date:  1992-09

4.  Laparoscopic splenectomy--technical aspects.

Authors:  B Delaitre; B Maignien
Journal:  Surg Endosc       Date:  1992 Nov-Dec       Impact factor: 4.584

  4 in total

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