2,138 results match your criteria Splenectomy Laparoscopic


Laparoscopic splenectomy for littoral cell angioma of the spleen: A case report.

Medicine (Baltimore) 2019 Mar;98(11):e14825

Medical College of Qingdao University, Qingdao University.

Rationale: Littoral cell angioma (LCA) is a rare primary vascular neoplasm of the spleen. It can be benign or malignant. Pathology and immunohistochemistry are the gold standards for the diagnosis of LCA. Read More

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http://dx.doi.org/10.1097/MD.0000000000014825DOI Listing

Prior Esophagogastric Devascularization Followed by Splenectomy for Liver Cirrhosis with Portal Hypertension: A Modified Laparoscopic Technique.

Gastroenterol Res Pract 2019 3;2019:2623749. Epub 2019 Feb 3.

Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

Purpose: This study was conducted to introduce a novel modified surgical technique for laparoscopic splenectomy and esophagogastric devascularization (LSED) and its safety and efficiency.

Methods: From June 2016 to November 2017, 86 patients were diagnosed with portal hypertension and serious gastroesophageal varices in our center. Of them, 32 patients underwent LSED and 54 received the modified LSED. Read More

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http://dx.doi.org/10.1155/2019/2623749DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377971PMC
February 2019
1 Read
1.502 Impact Factor

Warfarin versus aspirin prevents portal vein thrombosis after laparoscopic splenectomy and azygoportal disconnection: A randomized clinical trial.

Int J Surg 2019 Mar 6;64:16-23. Epub 2019 Mar 6.

Departments of Hepatobiliary Surgery, Clinical Medical College, Yangzhou University, 98 West Nantong Rd, Yangzhou, Jiangsu, 225000, China. Electronic address:

Introduction: Portal vein system thrombosis (PVST) is a common, potentially life-threatening complication after splenectomy. The optimal recognized anticoagulation drugs for preventing PVST in cirrhotic patients after splenectomy remain unclear. The aim of this study is to evaluate the safety and efficacy of warfarin in preventing PVST after laparoscopic splenectomy and azygoportal disconnection (LSD). Read More

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http://dx.doi.org/10.1016/j.ijsu.2019.02.018DOI Listing
March 2019
1 Read

Percutaneous Drainage of a Splenic Abscess via Laparoscopic Trocar in a Kidney Transplant Patient.

Exp Clin Transplant 2019 Mar 5. Epub 2019 Mar 5.

From the Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey.

Spleen abscess is a life-threatening disease. Treatment can be done by medical, radiological, or surgical methods. Here, we offer an innovative method of laparoscopic trocar-assisted percutaneous abscess drainage in the treatment of splenic abscess. Read More

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http://dx.doi.org/10.6002/ect.2018.0191DOI Listing

Spindle cell hemangioma of the spleen: A case report.

Medicine (Baltimore) 2019 Mar;98(9):e14555

Division of Hepatobiliary and Pancreatic Surgery.

Rationale: Spindle cell hemangioma (SCH) is considered a benign vascular lesion. It typically develops as a solitary nodule or multiple masses located in the dermal or subcutaneous layers of the distal extremities. To the best of our knowledge, there are no prior reports of SCH in the spleen. Read More

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http://Insights.ovid.com/crossref?an=00005792-201903010-0001
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http://dx.doi.org/10.1097/MD.0000000000014555DOI Listing
March 2019
3 Reads

[Diagnosis and surgical treatment of duodenal tumors].

Khirurgiia (Mosk) 2019 (1):5-13

A.V. Vishnevsky Institute of Surgery, Moscow, Russia.

Aim: To present the experience in diagnosis and surgical treatment of duodenal tumors.

Material And Methods: The study included 27 patients with different duodenal tumors: adenocarcinoma (AC, n=8), gastrointestinal stromal tumor (GIST, n=13), neuroendocrine tumor (NET, n=6). The examination included computed tomography (in 27 patients), magnetic resonance imaging (12), transcutaneous ultrasound (14), endosonography (16), esophagogastroduodenoscopy (16). Read More

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http://www.mediasphera.ru/issues/khirurgiya-zhurnal-im-n-i-p
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http://dx.doi.org/10.17116/hirurgia20190115DOI Listing
January 2019
3 Reads

Laparoscopic splenectomy for polysplenia with splenic torsion: a case report.

Surg Case Rep 2019 Feb 18;5(1):28. Epub 2019 Feb 18.

Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto, Japan.

Background: Polysplenia refers to the presence of two or more equal-sized spleens. Very rarely, one of the multiple spleens may develop torsion and infarction.

Case Presentation: A 21-year-old woman presented with left upper quadrant pain, the cause of which could not be diagnosed. Read More

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http://dx.doi.org/10.1186/s40792-019-0582-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379504PMC
February 2019

Feasibility and Safety of Laparoscopic Partial Splenectomy: A Systematic Review.

World J Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of the Second General Surgery, Sheng Jing Hospital of China Medical University, No. 36, Sanhao Street, Heping District, Shenyang City, Liaoning Province, China.

Background: Laparoscopic partial splenectomy (LPS) is a challenging procedure. The aim of this review was to evaluate its feasibility, safety, and potential benefits.

Methods: We conducted a comprehensive review for the years 1995-2018 to retrieve all relevant articles. Read More

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http://dx.doi.org/10.1007/s00268-019-04946-8DOI Listing
February 2019
1 Read

Hand-assisted laparoscopic splenectomy is a useful surgical treatment method for patients with excessive splenomegaly: A meta-analysis.

World J Clin Cases 2019 Feb;7(3):320-334

Department of General Surgery, Hepato-Biliary-Pancreatic Surgery Division, The Second Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.

Background: Hand-assisted laparoscopic splenectomy (HALS) can help overcome the drawbacks of laparoscopic splenectomy (LS) while maintaining its advantages.

Aim: To evaluate the efficacy and advantages of HALS for splenomegaly.

Methods: The relevant literature was reviewed using the PubMed, EMBASE, Cochrane, Ovid Medline, and Wanfang databases to compare the clinical outcomes of HALS and LS. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i3.320DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369387PMC
February 2019
1 Read

Laparoscopic Total Devascularization of the Upper Stomach and Splenectomy (Hassab's Procedure) Under Indocyanine Green Fluorescence Imaging: Initial Experience.

Surg Innov 2019 Feb 8:1553350619828912. Epub 2019 Feb 8.

1 Medico Shunju Shiroyama Hospital, Osaka, Japan.

The use of surgical treatment for refractory isolated gastric varices has decreased owing to the development of endoscopic and radiologic procedures, although surgeries are sometimes required as the final method. A 75-year-old Japanese woman was diagnosed with solitary gastric varices. Initially, intraoperative splenic artery embolization was performed using the balloon transcatheter technique under general anesthesia. Read More

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http://dx.doi.org/10.1177/1553350619828912DOI Listing
February 2019
1 Read

Hand-assisted Laparoscopic Splenectomy Advantages Over Complete Laparoscopic Splenectomy For Splenomegaly.

Surg Laparosc Endosc Percutan Tech 2019 Feb 1. Epub 2019 Feb 1.

Department of General Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, China.

Background: Laparoscopic splenectomy (LS) is generally applied for splenectomy, However, it also brings some technical challenges, especially for splenomegaly. Hand-assisted laparoscopic splenectomy (HALS) can help to overcome these drawbacks while maintaining the superiority of LS. This study was aimed to evaluate the efficacy and advantage of HALS for splenomegaly. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000640DOI Listing
February 2019
2 Reads
0.938 Impact Factor

Laparoscopic Splenectomy Versus Open Splenectomy In Massive and Giant Spleens: Should we Update the 2008 EAES Guidelines?

Surg Laparosc Endosc Percutan Tech 2019 Feb 1. Epub 2019 Feb 1.

Division of Hematology 1, IRCCS San Martino, University Hospital, National Institute for Cancer Research, Genoa, Italy.

The objective of this study was to derive some useful parameters to define the feasibility of laparoscopic splenectomy (LS) in massive [spleen longitudinal diameter (SLD)>20 cm] and giant spleens (SLD>25 cm). Between December 1996 and May 2017, 175 patients underwent an elective splenectomy. A laparoscopic approach was used in 133 (76%) patients. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000637DOI Listing
February 2019
1 Read

Current status of laparoscopic total gastrectomy.

Ann Gastroenterol Surg 2019 Jan 17;3(1):14-23. Epub 2018 Sep 17.

First Department of Surgery Faculty of Medicine University of Yamanashi Chuo Yamanashi Japan.

In this article, the current state of laparoscopic total gastrectomy (LTG) was reviewed, focusing on lymph node dissection and reconstruction. Lymph node dissection in LTG is technically similar to that in laparoscopic distal gastrectomy for early gastric cancer; however, LTG for advanced gastric cancer requires extended lymph node dissections including splenic hilar lymph nodes. Although a recent randomized controlled trial clearly indicated no survival benefit in prophylactic splenectomy for lymph node dissection at the splenic hilum, some patients may receive prognostic benefit from adequate splenic hilar lymph node dissection. Read More

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http://dx.doi.org/10.1002/ags3.12208DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345655PMC
January 2019

[A Case of Pancreatic Acinar Cell Carcinoma in a Young Woman without Recurrence after Systemic Chemotherapy Using S-1].

Gan To Kagaku Ryoho 2018 Dec;45(13):2315-2317

Dept. of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine.

A 26-year-old woman underwent laparoscopic-assisted distal pancreatectomy and splenectomy for a tumor in the tail of the pancreas. Although the preoperative diagnosis was a solid pseudopapillary tumor, pathological tissue examination revealed that the tumor was a pancreatic acinar cell carcinoma. She was treated with S-1 chemotherapy for 6 months without severe side effects, and no recurrence was detected on several imaging inspections. Read More

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December 2018

[A Case of Multiple Laparoscopic Surgeries Performed for Disseminated Peritoneal Recurrence of Primary Peritoneal Carcinoma].

Gan To Kagaku Ryoho 2018 Dec;45(13):1809-1811

Dept. of Surgery, Takaoka City Hospital.

A 61-year-old woman presented to our hospital with abdominal distension. Abdominal CT showed massive ascites and disseminated peritoneal nodules. The patient was diagnosed with primary peritoneal cancer based on ascites and disseminated peritoneal nodules following laparoscopic surgery(initial operation). Read More

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December 2018
1 Read

[A Resected Case of Lymph Node Metastasis at the Splenic Hilum from Lung Cancer Invading the Pancreas and Spleen].

Gan To Kagaku Ryoho 2018 Dec;45(13):2208-2210

Dept. of Surgery, Toyonaka Municipal Hospital.

A 72-year-old man received chemoradiotherapy for lung squamous cell carcinoma(T4N2M0, Stage Ⅲb). Nine months after the start of chemoradiotherapy, a 60 mm sized mass was identified in the spleen on abdominal CT. FDG-PET/CT examination revealed abnormal FDG accumulation in the tumor, and no obvious accumulation was observed in other sites. Read More

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December 2018
2 Reads

Partial splenectomy: Who, when and how. A systematic review of the 2130 published cases.

J Pediatr Surg 2018 Dec 5. Epub 2018 Dec 5.

Service de Chirurgie Générale Digestive, Cancerologique, Bariatrique et Métabolique, Hôpital Avicenne, Bobigny, France; Laboratoire d'Ethique Médicale et de Médecine Légale, Université Paris "Descartes", Paris, France.

Background/purpose: In order to avoid consequences of total splenectomy (including severe postsplenectomy sepsis), partial splenectomy (PS) is increasingly reported. Without guidelines and indications concerning a rarely-indicated procedure, a review of literature should be an asset.

Methods: A systematic review of all PSs from 1960 to December 2017 was performed, with special focus on surgical indications, sites of resection, approaches and techniques of vascular dissection and parenchymal section/hemostasis of the spleen, perioperative morbidity/mortality, including complications compelling to perform total splenectomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183078
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http://dx.doi.org/10.1016/j.jpedsurg.2018.11.010DOI Listing
December 2018
4 Reads

Laparoscopic splenectomy for hereditary spherocytosis. A case series and review of the literature.

Ann Ital Chir 2018 ;89:569-571

Hereditary spherocytosis (HS) is a common inherited hemolytic anemia caused by a defective erythrocyte cellular membrane. Irrespective of type of surgery performed, several case reports comparing the two type of procedures, have not proven any significant difference between serum bilirubin, serum hemoglobin, red blood cells' and platelets' count, in the followup period at 6 and 12 months respectively, even if platelet count has maintained high for the first 6 months postoperatively, justifying an oral antiplatelet therapy for this time interval. In the present work, we present the use of LS as the treatment of choice for HS as a case series, with all the characteristics. Read More

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January 2018
2 Reads

Surgical management of hereditary spherocytosis Current strategies.

Ann Ital Chir 2018 ;89:473-478

Background: Hereditary spherocytosis is a benign hematologic disease, which needs surgical treatment when medical therapy fails. Currently, the surgical strategies consist mainly in total or partial splenectomy, which can be performed either in open or in laparoscopic fashion. In this study, we analyzed our series of splenectomies for hereditary spherocytosis and we discuss about the surgical management, reviewing the Literature. Read More

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January 2018
22 Reads

A Case of Pancreatic Schwannoma Diagnosed Preoperatively by Endoscopic Ultrasonography-Guided Fine Needle Aspiration and Treated with Laparoscopic Surgery.

J Pancreat Cancer 2018 1;4(1):7-10. Epub 2018 May 1.

Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.

Pancreatic tumors are often difficult to diagnose in atypical cases, and a pancreatic schwannoma is very rare. We present a case of pancreatic schwannoma with calcification diagnosed preoperatively by endoscopic ultrasonography (EUS)-guided fine needle aspiration (FNA) and treated with laparoscopic distal pancreatectomy. A 72-year-old-woman was admitted to our hospital due to a 6 × 4. Read More

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http://dx.doi.org/10.1089/pancan.2018.0002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999014PMC
May 2018
1 Read

A Systematic Review and Meta-Analysis of Anterior Versus Lateral Approach for Laparoscopic Splenectomy.

Surg Laparosc Endosc Percutan Tech 2019 Jan 8. Epub 2019 Jan 8.

Department of General Surgery, North Manchester General Hospital, Manchester, United Kingdom.

Background: As the experience grew with laparoscopic splenectomy (LS) more surgeons appreciate the advantages of lateral approach compared with conventional anterior approach. In view of this we aimed to compare anterior approach and lateral approach in LS.

Methods: We conducted a search of electronic information sources to identify all randomized controlled trials (RCTs) and observational studies comparing anterior and lateral approach in patients undergoing LS. Read More

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http://Insights.ovid.com/crossref?an=00129689-900000000-9942
Publisher Site
http://dx.doi.org/10.1097/SLE.0000000000000627DOI Listing
January 2019
15 Reads

Sclerosing Angiomatoid Nodular Transformation of the Spleen: Lessons from a Rare Case and Review of the Literature.

Intern Med 2019 Jan 10. Epub 2019 Jan 10.

Department of Gastroenterology, Juntendo University Urayasu Hospital, Japan.

Sclerosing angiomatoid nodular transformation (SANT) of the spleen is an extremely rare benign lesion. We herein report a case of asymptomatic SANT of the spleen in a middle-aged woman with early breast carcinoma and an undiagnosed splenic mass, which was successfully treated by laparoscopic splenectomy and diagnosed postoperatively. We also review the literature on SANT to help make knowledge more accessible when clinicians encounter a splenic tumor. Read More

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http://dx.doi.org/10.2169/internalmedicine.1948-18DOI Listing
January 2019
1 Read

[Refractory primary immune thrombocytopenia in pregnancy requiring splenectomy and repeated intravenous immunoglobulin therapy].

Rinsho Ketsueki 2018 ;59(12):2574-2577

Third Department of Internal Medicine, Yamaguchi University School of Medicine.

A 30-year-old primigravid woman without a history of thrombocytopenia was referred to our hospital because of severe thrombocytopenia (<1,000 thrombocytes/µl) at 16 weeks of gestation and diagnosed with idiopathic thrombocytopenic purpura (ITP). There was no improvement in the platelet count after treatment with 0.5-1. Read More

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https://www.jstage.jst.go.jp/article/rinketsu/59/12/59_2574/
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http://dx.doi.org/10.11406/rinketsu.59.2574DOI Listing
January 2018
10 Reads

Is ITP really a desirable indication for teaching laparoscopic splenectomy? Cohort study.

Acta Chir Belg 2019 Jan 9:1-8. Epub 2019 Jan 9.

a 2nd Department of General Surgery , Jagiellonian University Medical College , Kraków , Poland.

Background: We aimed to evaluate the outcomes of laparoscopic splenectomy (LS) in patients with immune thrombocytopenic purpura (ITP) compared with operated for other indications.

Methods: Retrospective cohort study of patients who underwent LS in 1998-2017. Group 1 consisted of 256 patients operated for ITP, and Group 2 of 231 operated for other indications. Read More

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http://dx.doi.org/10.1080/00015458.2018.1545743DOI Listing
January 2019
2 Reads

Enabling single-site laparoscopy: the SPORT platform.

Surg Endosc 2019 Jan 8. Epub 2019 Jan 8.

IHU-Strasbourg Institute of Image-Guided Surgery, 1, place de l'Hôpital, 67091, Strasbourg Cedex, France.

Background: The Single Port Orifice Robotic Technology (SPORT) Surgical System by Titan Medical Inc. is designed to overcome the inherent challenges of minimally invasive single-access procedures. The aim of this preclinical study was to evaluate the feasibility of various digestive surgery procedures using this novel surgical robotic platform. Read More

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http://link.springer.com/10.1007/s00464-018-06658-x
Publisher Site
http://dx.doi.org/10.1007/s00464-018-06658-xDOI Listing
January 2019
19 Reads

Laparoscopic sigmoid colectomy and splenectomy for diverticulitis and splenic sarcoidosis.

J Minim Access Surg 2019 Jan 4. Epub 2019 Jan 4.

Surgical Services, University of Maryland Community Medical Group, University of Maryland, Easton; Meritus Surgical Specialists, Hagerstown, MD, USA.

Splenectomy together with colectomy is most commonly performed as a result of iatrogenic injury and not as an additional elective procedure. A 50-year-old African American female presented with recurrent episodes of diverticulitis. She had mediastinal, and porta hepatis lymphadenopathy and subcutaneous nodules, but multiple biopsies were unable to establish the diagnosis. Read More

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http://dx.doi.org/10.4103/jmas.JMAS_191_18DOI Listing
January 2019
1 Read

Laparoscopic Splenectomy for Trauma.

JSLS 2018 Oct-Dec;22(4)

Minimally Invasive Surgery, Department of Surgery, Howard University Hospital, Washington, DC USA.

Background And Objectives: The use of laparoscopy in the trauma setting is gaining momentum, with more therapeutic procedures being performed. We evaluated the use of laparoscopic splenectomy among trauma patients with data from the National Trauma Database. We compared outcomes for trauma patients undergoing laparoscopic (LS) versus open splenectomy (OS). Read More

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http://dx.doi.org/10.4293/JSLS.2018.00050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305065PMC
February 2019
3 Reads

The elusive spleen.

Authors:
S Dixon L F Horgan

Ann R Coll Surg Engl 2019 Mar 3;101(3):176-179. Epub 2019 Jan 3.

Northumbria Healthcare NHS Foundation Trust , UK.

Introduction: The aim of this study was to review the experience of general surgeons performing splenectomy in a district general hospital. The outcomes are discussed together with potential reasons for the increasing rarity of the procedure.

Methods: A retrospective cohort study was carried out of all patients undergoing splenectomy (as identified by a single trust pathology department on receipt of splenic samples) between 1 January 2000 and 1 May 2017. Read More

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http://dx.doi.org/10.1308/rcsann.2018.0215DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400912PMC
March 2019
1 Read

[Esplenectomía laparoscópica, una opción eficaz en un hospital de segundo nivel].

Cir Cir 2019 ;87(1):23-27

Servicio de Cirugía General, Hospital General de Zona #32 Dr. Mario Madrazo Navarro, Instituto Mexicano del Seguro Social, Ciudad de México, México.

Introduction: Laparoscopic splenectomy was reserved for selected cases, however and because of the improvement in surgical technique and laparoscopic instruments, nowadays, there are few contraindications.

Method: Retrospective and observational study of patients surgically treated of laparoscopic splenectomy secondary to hematologic diseases in a period span of 6 years. We analyzed demographic, preoperative, transoperative and postoperative variables. Read More

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http://dx.doi.org/10.24875/CIRU.18000383DOI Listing
January 2019
3 Reads

Impact of Spleen Preserving Laparoscopic Distal Pancreatectomy on Postoperative Infectious Complications: Systematic Review and Meta-Analysis.

J Laparoendosc Adv Surg Tech A 2019 Feb 28;29(2):167-177. Epub 2018 Dec 28.

Division of General Surgery IRCCS Policlinico San Donato, Department of Biomedical Science for Health, University of Milan, Milan, Italy.

Background: Laparoscopic distal pancreatectomy with splenectomy is the standard procedure for body and tail pancreatic tumors. Technical difficulties arising from the strict anatomical relationship between pancreas and splenic vessels generally impose a concomitant splenectomy. Previous retrospective studies have shown a reduced risk of postoperative complications and infections in spleen preserved patients, but this is still a debated issue. Read More

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https://www.liebertpub.com/doi/10.1089/lap.2018.0738
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http://dx.doi.org/10.1089/lap.2018.0738DOI Listing
February 2019
9 Reads

Prediction of Technical Difficulties in Laparoscopic Splenectomy and Analysis of Risk Factors for Postoperative Complications in 468 Cases.

J Clin Med 2018 Dec 14;7(12). Epub 2018 Dec 14.

2nd Department of General Surgery, Jagiellonian University Medical College, 31-501 Kraków, Poland.

Prediction of intraoperative difficulties may be helpful in planning surgery; however, few studies explored this issue in laparoscopic splenectomy (LS). We performed retrospective analysis of consecutive 468 patients undergoing LS from 1998 to 2017 (295 women; median age 47 years). The patients were divided into difficult LS and control groups. Read More

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http://dx.doi.org/10.3390/jcm7120547DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306709PMC
December 2018
1 Read

Efficacy and safety of laparoscopic splenectomy and esophagogastric devascularization for portal hypertension: A single-center experience.

Medicine (Baltimore) 2018 Dec;97(50):e13703

Department of Liver Transplantation and Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shandong University.

Many patients in China have portal hypertension secondary to liver cirrhosis. Splenectomy and devascularization have become an efficacious surgical procedure for portal hypertension, and has been recommended in China as the first choice for the treatment of portal hypertension for a long time. As a result of advances in laparoscopic equipment and techniques, splenectomy and esophagogastric devascularization have been carried out with laparoscope. Read More

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http://dx.doi.org/10.1097/MD.0000000000013703DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320041PMC
December 2018
2 Reads
5.723 Impact Factor

Thymoma with an isolated splenic metastasis eight years after extended thymectomy: a case report.

BMC Cancer 2018 Dec 13;18(1):1249. Epub 2018 Dec 13.

Department of Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, Japan.

Background: Thymomas are typically slow-growing tumors and AB type thymomas are considered no/low risk tumors with a better prognosis. Extra-thoracic metastases are extremely rare. To the best of our knowledge, no patient with an isolated splenic metastasis from a thymoma has been reported. Read More

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https://bmccancer.biomedcentral.com/articles/10.1186/s12885-
Publisher Site
http://dx.doi.org/10.1186/s12885-018-5165-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293546PMC
December 2018
8 Reads

Quest for the optimal technique of laparoscopic splenectomy - vessels first or hilar transection?

Wideochir Inne Tech Maloinwazyjne 2018 Dec 30;13(4):460-468. Epub 2018 May 30.

2 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland.

Introduction: Throughout our 20 years of experience, we have used several different techniques for laparoscopic splenectomy (LS). However, two methods have been used most frequently: "vessels first" and "hilar transection".

Aim: To evaluate the outcomes of LS performed with these two different approaches. Read More

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https://www.termedia.pl/doi/10.5114/wiitm.2018.76071
Publisher Site
http://dx.doi.org/10.5114/wiitm.2018.76071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280088PMC
December 2018
11 Reads

Laparoscopic splenectomy: posterolateral approach in patients with liver cirrhosis and portal hypertension with platelet count lower than 1 × 10/l.

Wideochir Inne Tech Maloinwazyjne 2018 Dec 24;13(4):454-459. Epub 2018 Jul 24.

Department of Hepatobiliary Pancreatic Surgery, People's Hospital of Zhengzhou University, Henan Provincial People's Hospital, Zhengzhou, China.

Introduction: Laparoscopic splenectomy for massive splenomegaly secondary to liver cirrhosis and portal hypertension in patients with an extremely low platelet count (< 1 × 10/l) presents several challenges. The posterolateral laparoscopic splenectomy approach may be a feasible and safe technique for these patients.

Aim: To evaluate the feasibility and safety of the posterolateral laparoscopic splenectomy approach in patients with platelet counts < 1 × 10/l secondary to liver cirrhosis and portal hypertension. Read More

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http://dx.doi.org/10.5114/wiitm.2018.77262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280078PMC
December 2018
2 Reads

Predictive Factors for Success of Laparoscopic Splenectomy for ITP.

JSLS 2018 Oct-Dec;22(4)

Second Department of Medicine and Cardiology Centre, University of Szeged, Szeged, Hungary.

Background And Objectives: Therapy-resistant immune thrombocytopenia (ITP) is the most frequent indication of laparoscopic splenectomy (LS). It ensures the best results for this disease compared with possible second-line pharmacologic therapies. Therefore, learning about the safety of the surgical method and its long-term efficacy is important, as is selecting patients who respond to surgical treatment. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6248273PMC
January 2019
3 Reads

The treatment indication and optimal management of fluid collection after laparoscopic distal pancreatectomy.

Surg Endosc 2018 Dec 7. Epub 2018 Dec 7.

Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea.

Background: Recently, laparoscopic distal pancreatectomy (LDP) has become the standard procedure for resection of left-sided pancreatic tumors. Fluid collection (FC) at the resection margin of the pancreatic stump after LDP is a frequent radiological finding. However, there have been few treatment guidelines and the optimal management for this clinical finding is unclear. Read More

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http://dx.doi.org/10.1007/s00464-018-06621-wDOI Listing
December 2018
1 Read

Laparoscopic splenectomy: a new approach.

Clinics (Sao Paulo) 2018 Nov 29;73:e16536. Epub 2018 Nov 29.

Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Objectives: To introduce a new laparoscopic splenectomy (LS) approach.

Methods: Sixteen patients underwent LS with general anaesthesia and carbon dioxide pneumoperitoneum. The details of the surgery are as follows: 1. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257254/?report
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http://dx.doi.org/10.6061/clinics/2018/e16-536DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257254PMC
November 2018
13 Reads

Altered gut microbiota after traumatic splenectomy is associated with endotoxemia.

Emerg Microbes Infect 2018 Nov 30;7(1):197. Epub 2018 Nov 30.

Department of Oncology and Laparoscopy Surgery, the First Affiliated Hospital of Harbin Medical University, 150001, Harbin, China.

Splenectomy carries a long-term risk of postoperative infection, and the chronic, low-grade inflammation associated with endotoxemia may be related to the gut microbiota. In this study, to increase our understanding of the potential cause of the high rate of infection in postsplenectomy patients, we evaluated the differences in the gut microbiota and plasma lipopolysaccharide level of patients after splenectomy relative to those of healthy controls. Thirty-two patients having undergone splenectomy and 42 healthy individuals were enrolled into the splenectomy (SP) and healthy control (HC) groups, respectively. Read More

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http://dx.doi.org/10.1038/s41426-018-0202-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6265257PMC
November 2018
15 Reads

Endovascular and Surgical Management of Intact Splenic Artery Aneurysm.

Ann Vasc Surg 2018 Nov 26. Epub 2018 Nov 26.

Department of Vascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Objective: This study aims to reveal the experience with endovascular and surgical management of intact splenic artery aneurysms in our single center.

Method: Between January 2011 and June 2017, 42 patients with intact splenic artery aneurysm were enrolled in this study. Twenty patients undergoing surgical intervention were classified as the surgical group, and 22 patients who received endovascular repair were categorized as the endovascular group. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.08.088DOI Listing
November 2018
4 Reads

Laparoscopic hemi-splenectomy: a valid option in selected cases such as epidermoid cyst.

Ann R Coll Surg Engl 2019 Mar 28;101(3):e73-e75. Epub 2018 Nov 28.

General and Digestive Surgery Department, Rio-Hortega University Hospital , Valladolid , Spain.

Splenic cysts are a rare pathology, which can be classified as true (25%) or pseudocysts (75%). Total splenectomy has been the treatment of choice, particularly in recent times with the advent of the laparoscopic approach. However, as the spleen is an organ with multiple immunological functions, the laparoscopic partial splenectomy is an alternative, which is technically difficult but effective. Read More

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http://dx.doi.org/10.1308/rcsann.2018.0205DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400924PMC
March 2019
1 Read

Platelet count on preoperative day 1 predicts the long-term responses to laparoscopic splenectomy for Chinese patients with medically refractory idiopathic thrombocytopenic purpura.

BMC Surg 2018 Nov 26;18(1):108. Epub 2018 Nov 26.

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Chongqing, 400016, China.

Background: Laparoscopic splenectomy (LS) is regarded as a second-line treatment for medically refractory idiopathic thrombocytopenic purpura (ITP), but the predictive factors for the long-term postoperative responses to ITP are still a matter of debate. We aimed to investigate the factors that can predict the long-term response after LS for Chinese patients with medically refractory ITP.

Methods: From January 2011 to September 2016, 78 Chinese patients with ITP who underwent LS were retrospectively analyzed. Read More

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http://dx.doi.org/10.1186/s12893-018-0446-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260580PMC
November 2018
3 Reads

Adverse factors responsible for below-normal platelet count after laparoscopic splenectomy and azygoportal disconnection.

Turk J Gastroenterol 2018 Nov 20. Epub 2018 Nov 20.

Department of Hepatobiliary Surgery, Clinical Medical College of Yangzhou University, Yangzhou, China.

Background/aims: Splenectomy is regarded as an effective curative treatment for thrombocytopenia caused by hypersplenism in patients with cirrhosis. However, in clinical practice, thrombocytopenia is not resolved by splenectomy in all patients. This study aimed to evaluate the adverse factors responsible for platelet (PLT) counts below the normal lower limit following laparoscopic splenectomy and azygoportal disconnection (LSD). Read More

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http://dx.doi.org/10.5152/tjg.2018.18207DOI Listing
November 2018
1 Read

Laparoscopy reduces iatrogenic splenic injuries during colorectal surgery.

Tech Coloproctol 2018 10 20;22(10):767-771. Epub 2018 Nov 20.

Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.

Background: Splenic injury can occur during colorectal surgery especially in cases, where the splenic flexure is mobilized. The aim of this study was to analyze whether the operative approach (laparoscopic vs. open) was associated with an increased risk for splenic injury during colorectal surgery and to compare the outcomes of different management options. Read More

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http://link.springer.com/10.1007/s10151-018-1861-7
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http://dx.doi.org/10.1007/s10151-018-1861-7DOI Listing
October 2018
12 Reads

[Torsion of wandering spleen - unusual cause to acute abdominal pain in pediatric patients].

Lakartidningen 2018 11 20;115. Epub 2018 Nov 20.

Sunderby sjukhus - Allmänkirurgi Luleå, Sweden Sunderby sjukhus, Allmänkirurgi - Lulea, Sweden.

Wandering spleen is a rare reason for acute abdominal pain in pediatric patients caused by laxity of the splenic ligaments. It can be complicated by torsion of the pedicle, leading to ischemia, a situation that in most cases results in acute abdominal surgery. To prevent ischemia of a mobile spleen caused by a total occlusion of the pedicle, splenopexy can be considered. Read More

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November 2018
8 Reads

Splenic mass in a case of -mutated essential thrombocythemia.

Clin Case Rep 2018 Nov 9;6(11):2291-2292. Epub 2018 Oct 9.

Division of Pathology Uji-Tokushukai Medical Center Uji Kyoto Japan.

We report here an intrasplenic large mass in an elderly case of essential thrombocythemia (ET)-myelofibrosis. Laparoscopic splenectomy revealed extramedullary hematopoiesis (EMH) and a type 1 gene mutation (CALR-c.1092_1143del52) in the splenic mass. Read More

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http://dx.doi.org/10.1002/ccr3.1857DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230599PMC
November 2018
1 Read

Laparoscopic splenic pseudocyst management using indocyanine green dye: An adjunct tool for better surgical outcome.

J Minim Access Surg 2018 Nov 9. Epub 2018 Nov 9.

Department of General and Minimal Access Surgery and Robotic Surgery, Indraprastha Apollo Hospitals, New Delhi, India.

Splenic cysts are not so common in incidence. Only 800-850 cases have been reported till now in the literature. Splenic cysts can be further classified into parasitic and non-parasitic cysts. Read More

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http://dx.doi.org/10.4103/jmas.JMAS_156_18DOI Listing
November 2018
3 Reads

Operative outcomes after laparoscopic splenectomy with special reference to prophylactic antibiotics.

Asian J Endosc Surg 2018 Nov 8. Epub 2018 Nov 8.

Department of Infection Control Science, Osaka City University Graduate School of Medicine, Osaka, Japan.

Introduction: We conducted a retrospective study to investigate the progress of the operative outcome after laparoscopic splenectomy (LS), with a special reference to the administration of prophylactic antibiotics (PA).

Methods: The study included 123 patients who underwent elective LS. Operative outcomes before and after the operative procedure was standardized and the impact of treatment with PA on surgical-site infection were investigated. Read More

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http://doi.wiley.com/10.1111/ases.12661
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http://dx.doi.org/10.1111/ases.12661DOI Listing
November 2018
13 Reads

First case of laparoscopic partial splenectomy in a child with hamartoma: Case report and review of the literature.

Int J Surg Case Rep 2018 17;53:140-143. Epub 2018 Sep 17.

Department of Surgery, University of Modena and Reggio Emilia, Policlinico of Modena, Via del Pozzo, 71 41100 Modena, Italy. Electronic address:

Introduction: To date, laparoscopic surgery has played a key role in the treatment of not only splenic hematologic pathologies but also solid ones. Hamartoma is a rare disease; only twenty percent of them are of pediatric relevance; it is a benign tumor, but radiological features never allow proper differentiation from malignant neoplasms. In children, hamartoma may be associated with other morbid conditions, such as sickle cell disease or other hematological alterations. Read More

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https://www.sciencedirect.com/science/article/pii/S221026121
Web Search
https://linkinghub.elsevier.com/retrieve/pii/S22102612183038
Publisher Site
http://dx.doi.org/10.1016/j.ijscr.2018.09.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6216043PMC
September 2018
10 Reads

A nationwide cohort study of resection rates and short-term outcomes in open and laparoscopic distal pancreatectomy.

HPB (Oxford) 2018 Oct 31. Epub 2018 Oct 31.

Institute of Clinical Medicine, The Arctic University of Norway, Tromsø, Norway; Department of Hepatobiliary and Pancreatic Surgery, Oslo University Hospital, Oslo, Norway.

Background: Distal pancreatectomy (DP) is increasingly done by laparoscopy but data from routine practise are scarce. We describe practise in a national cohort.

Methods: Data from the Norwegian Patient Register of all patients undergoing DP from 2012 to 2016. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1365182X183447
Publisher Site
http://dx.doi.org/10.1016/j.hpb.2018.10.006DOI Listing
October 2018
10 Reads