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Is the Laparoscopic Approach Reasonable in Cases of Splenomegaly?

Service of Surgery, Hospital de Sant Pau, C/ Padre Claret 167, 08025 Barcelona. Spain; Etargarona{at}hsp.santpau.es; Service of General and Digestive Surgery, Hospital de Sant Pau, Autonomous University of Barcelona, Barcelona, Spain

Carmen Balagué, MD, PhD

Manuel Trias, MD, PhD

Service of General and Digestive Surgery, Hospital de Sant Pau, Autonomous University of Barcelona, Barcelona, Spain

Laparoscopic splenectomy in cases of splenomegaly has been shown to be feasible in experienced hands, even though the size of the spleen increases the operative time and difficulty. Laparoscopic splenectomy for splenomegaly offers the same advantages as for patients with smaller spleens: a shorter hospital stay and a faster recovery. Recent experience has shown that hand-assisted laparoscopic surgery makes the surgical maneuvers during laparoscopic splenectomy in cases of splenomegaly considerably easier while preserving the advantages of a purely laparoscopic approach. This technique may facilitate and broaden the application of laparoscopy for splenectomy in patients with enlarged spleens.

Surgical Innovation, Vol. 11, No. 3, 185-190 (2004)
DOI: 10.1177/107155170401100308


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