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Reappraisal of anterior approach to laparoscopic splenectomy: technical feasibility and its clinical application

Authors
 Choi, Sung Hoon  ;  Kang, Chang Moo  ;  Hwang, Ho Kyoung  ;  Lee, Woo Jung 
Citation
 SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.21(5) : 353-357, 2011 
Journal Title
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
ISSN
 0930-2794 
Issue Date
2011
MeSH
Adult ; Feasibility Studies ; Female ; Follow-Up Studies ; Humans ; Laparoscopy* ; Male ; Retrospective Studies ; Splenectomy/methods* ; Splenomegaly/surgery* ; Treatment Outcome
Keywords
laparoscopic splenectomy ; minimally invasive surgery ; anterior approach
Abstract
Laparoscopic splenectomy has been accepted as the treatment of choice in managing spleen-associated pathologic conditions requiring splenectomy. We introduce our surgical technique of modified laparoscopic splenectomy and discuss its technical feasibility and safety. From March 2006 to March 2010, 38 patients underwent modified laparoscopic splenectomy. Mean operating time was 169.5 ± 109.6 minutes. Mean blood loss was 468 ± 971.5 mL. Intraoperative transfusions were given to 10 patients (25.6%). There was no case for open conversion. In learning curve analysis, outcomes significantly improved with the first 17 patients. When we compared first 27 cases of conventional laparoscopic splenectomy with recent cases of modified technique, the 2 groups showed no significant difference. The presented technique of modified laparoscopic splenectomy seems to be a feasible, easy, and safe procedure. It is also thought that surgical indication could be extended even to the splenomegaly by this technique
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00129689-201110000-00012&LSLINK=80&D=ovft
DOI
10.1097/SLE.0b013e31822d6c8c
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Choi, Sung Hoon(최성훈)
Hwang, Ho Kyoung(황호경) ORCID logo https://orcid.org/0000-0003-4064-7776
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94657
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