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Laparoscopic Splenectomy

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Laparoscopic Splenectomy
Overview
 
Our original interest in this procedure somewhat diminished in the early nineties due to the lack of an acceptable conversion rate. As a result of our increased proficiency in the performance of laparoscopic procedures, our conversion rate is now inexistent even with large spleens. To date, this procedure continues to be associated with a step learning curve but remains a very rewarding, elegant procedure.

The indications for this procedure have broadened and are now the same as with open procedures. They range from Idiopathic Thrombocytopenic Purpura, unresponsive hemolytic anemia to staging procedures and to Primary Splenic Cysts.

Our only restriction is excessively large spleens (over 1000 gm.). We personally believe that the maneuvers used to remove such large spleens do not warrant these procedures.

One should always remember, the spleen cannot be resected in its integral anatomical form and is usually shredded. If there is any need to preserve splenic integrity, then this procedure is not indicated.


 

Procedural Videos

> Lap-Splenectomy: Standard / Full lenght

> Lap-Splenectomy: Technical Steps - Full


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