RT Journal Article
SR Electronic
T1 Minimally invasive splenectomy: an update and review
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP 280
OP 285
DO 10.1503/cjs.014312
VO 56
IS 4
A1 Gary Gamme
A1 Daniel W. Birch
A1 Shahzeer Karmali
YR 2013
UL http://canjsurg.ca/content/56/4/280.abstract
AB Laparoscopic splenectomy (LS) has become an established standard of care in the management of surgical diseases of the spleen. The present article is an update and review of current procedures and controversies regarding minimally invasive splenectomy. We review the indications and contraindications for LS as well as preoperative considerations. An individual assessment of the procedures and outcomes of multiport laparoscopic splenectomy, hand-assisted laparoscopic splenectomy, robotic splenectomy, natural orifice transluminal endoscopic splenectomy and single-port splenectomy is included. Furthermore, this review examines postoperative considerations after LS, including the postoperative course of uncomplicated patients, postoperative portal vein thrombosis, infections and malignancy.