Laparoscopic splenectomy — technical aspects

B. Delaitre1, B. Maignien1
1Clinique Chirurgicale, Hopital Cochin, Paris, France

Tóm tắt

Since the recent development of endoscopic cholecystectomy various other digestive disorders have been treated endoscopically. Using the endo-GIA stapler the authors report a case of laparoscopic splenectomy. Five trocar sheaths were used. Once detached, the spleen was cut into fragments in a plastic bag intraabdominally, which allowed its removal. Splenectomy was performed for a girl who had an autoimmune thrombocytopenic purpura (ITP). No operative transfusion was required. The patient was discharged after an uncomplicated postoperative recovery. The cosmetic result is good.

Tài liệu tham khảo

Delaitre B, Maignien B (1991) Laparoscopic splenectomy: one case. Presse Med 44:2263 (letter) Dubois F, Icard P, Berthelot G, Levard H (1990) Coelioscopic cholecystectomy. Ann Surg 211:60–62 PF Leahy (1989) Technique of laparoscopic appendicectomy. Br J Surg 76:616 Mouret P, Francois Y, Viguel Y, Barth X, Lombard-Platet R (1990) Laparoscopic treatment of perforated peptic ulcer. Br J Surg 77:1006 Nathanson LK, Shimi S, Cuschieri A (1991) Laparoscopic ligamentum teres (round ligament) cardiopexy. Br J Surg 78:947–951 Paterson-Brown S, Garden OJ (1991) Laser-assisted laparoscopic excision of liver cyst. Br J Surg 78:1047