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Journal of Long-Term Effects of Medical Implants
SJR: 0.332 SNIP: 0.491 CiteScore™: 0.89

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v14.i5.20
12 pages

Laparoscopic Splenectomy—A Review

Ashley K. Vavra
Baylor College of Medicine, Michael E. DeBakey Department of Surgery, Houston Texas, USA
John F. Sweeney
Associate Professor of Surgery; Chief, Minimally Invasive Surgery. Michael E. DeBakey Department of Surgery Baylor College of Medicine 6550 Fannin, Suite 1661 Houston TX 77030

ABSTRACT

Laparoscopic splenectomy has become the standard approach in many institutions when splenectomy is indicated for benign hematologic disease and has gained acceptance in patients with malignant hematologic disease and splenomegaly. It is a technically difficult procedure and is associated with a steep learning curve, with operative times initially longer than those associated with open splenectomy. However, technical advancements such as hand-assisted laparoscopic splenectomy have facilitated increased acceptance of laparoscopy as an approach that is superior to open splenectomy, even in patients with malignant hematologic disease and/or splenomegaly. When compared to open splenectomy, laparoscopic splenectomy is associated with shorter postoperative hospitalization and improved cosmesis.