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Surgical Endoscopy
Published in: Surgical Endoscopy 9/2004

01-09-2004 | Original article

Hand-assisted laparoscopic splenectomy in the setting of splenomegaly

Authors: G. K. Kaban, D. R. Czerniach, R. Cohen, Y. W. Novitsky, S. M. Yood, R. A. Perugini, J. J. Kelly, D. E. M. Litwin

Published in: Surgical Endoscopy | Issue 9/2004

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Abstract

Background

Hand-assisted laparoscopic surgery (HALS) devices may be well suited to splenectomy in cases of splenomegaly.

Methods

All cases of HALS for splenectomy between 1997 and 2001 were reviewed. Patient characteristics, operative details, and morbidity and mortality were analyzed.

Results

HALS for splenectomy was performed in 54 patients. A total of 39 patients with massive splenomegaly (MS) (>600 g) were identified. The average weight of the MS group was 1285 ± 505 g. There was one (3%) conversion. Operative time was 159 ± 65 min, estimated blood loss was 257 ± 240 ml, and length of hospital stay was 5.4 ± 2.9 days. Morbidity was limited to 13 patients (24%), and there were two postoperative mortalities (5.1%).

Conclusions

HALS for splenectomy in the setting of splenomegaly is feasible and safe. For the surgeon considering a laparoscopic approach in the setting of splenomegaly, a hand-assisted technique is ideally suited for removal of the enlarged spleen.
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Metadata
Title
Hand-assisted laparoscopic splenectomy in the setting of splenomegaly
Authors
G. K. Kaban
D. R. Czerniach
R. Cohen
Y. W. Novitsky
S. M. Yood
R. A. Perugini
J. J. Kelly
D. E. M. Litwin
Publication date
01-09-2004
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 9/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-003-9175-9

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