2,117 results match your criteria Splenectomy Laparoscopic


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

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
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http://dx.doi.org/10.1097/SLE.0000000000000627DOI Listing
January 2019
1 Read

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

[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
1 Read

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

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
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http://dx.doi.org/10.1007/s00464-018-06658-xDOI Listing
January 2019
2 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

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
January 2019
1 Read

The elusive spleen.

Authors:
S Dixon L F Horgan

Ann R Coll Surg Engl 2019 Jan 3:1-4. 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
January 2019

[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
1 Read

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

J Laparoendosc Adv Surg Tech A 2018 Dec 28. 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
December 2018
3 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
December 2018
1 Read
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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-
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http://dx.doi.org/10.1186/s12885-018-5165-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293546PMC
December 2018
4 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
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http://dx.doi.org/10.5114/wiitm.2018.76071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280088PMC
December 2018
5 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
1 Read

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
December 2018

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

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
7 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
9 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

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

Ann R Coll Surg Engl 2018 Nov 28:e1-e3. 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
November 2018

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
1 Read

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

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
7 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

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
1 Read

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
8 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
6 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
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http://dx.doi.org/10.1016/j.hpb.2018.10.006DOI Listing
October 2018
5 Reads

[Evidence of Gastric Cancer Surgery Established from the Clinical Trials of Japanese Clinical Oncology Group].

Gan To Kagaku Ryoho 2018 Oct;45(10):1396-1399

Dept. of Gastric Surgery, National Cancer Center Hospital.

So far, JCOG Stomach Cancer Study Group had conducted phase III study to confirm efficacy of para-aortic nodaldissection( PAND), left thoraco-abdominalapproach for gastric cancer invading esophagus, spleen-preserving surgery, bursectomy, and laparoscopic surgery. JCOG9501 demonstrated that efficacy of PAND was denied but D2 was highly safe surgery. JCOG9502 showed that efficacy of thoraco-abdominalapproach was denied and transhiatalapproach was a standard procedure. Read More

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October 2018
1 Read

A Novel Non-Gas Endospray for Applying Fibrin Glue in Laparoscopic Surgery.

J Invest Surg 2018 Oct 31:1-6. Epub 2018 Oct 31.

b Department of Surgery , Munakata Medical Association Hospital , Fukuoka , Japan.

Purpose: Fibrin glue and polyglycolic acid felt are used for tissue repair in various surgical procedures. However, using a spray device to apply fibrin sealant during laparoscopic surgery can increase the intraperitoneal pressure, which can cause complications such as air embolism. We developed a novel non-gas endospray for use in laparoscopic surgery. Read More

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http://dx.doi.org/10.1080/08941939.2018.1519050DOI Listing
October 2018

Laparoscopic spleen retains the body and tail of the pancreas resection.

Ann Transl Med 2018 Sep;6(18):362

Department of General Surgery, First People's Hospital of Wenling, Wenling 317500, China.

Pancreatic serous cystic neoplasm (SCN) is a benign tumor of the pancreas, about two-thirds situated in the tail of the pancreas. The small sized ones usually require only routine follow-ups, and is advised for surgical treatment when clinical symptoms, and mass growth are occurring rapidly, and the traditional treatment is splenectomy. Here, we have finished a laparoscopy resection of the spleen-preserving pancreatic body. Read More

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http://atm.amegroups.com/article/view/21449/20884
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http://dx.doi.org/10.21037/atm.2018.08.36DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186566PMC
September 2018
1 Read

A Novel Three-Step Approach for Secure Splenectomy During Laparoscopic Total Gastrectomy for Gastric Cancer.

J Gastrointest Surg 2018 Oct 26. Epub 2018 Oct 26.

Department of Gastroenterological Surgery and Oncology, Himeji Medical Center, 68 Honmachi, Himeji City, Hyogo, 670-8520, Japan.

Background: Splenectomy during total gastrectomy increases operative morbidity (Nakata et al. in Surgical endoscopy 7:1817-1822, 2015). Establishing a safe approach to laparoscopic splenectomy is one of the most urgent issues in the treatment of proximal advanced gastric cancer, which invades to the greater curvature (Kawamura et al. Read More

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http://link.springer.com/10.1007/s11605-018-4010-8
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http://dx.doi.org/10.1007/s11605-018-4010-8DOI Listing
October 2018
7 Reads

Laparoscopic procedures in patients with cardiac ventricular assist devices.

Surg Endosc 2018 Oct 26. Epub 2018 Oct 26.

Department of Surgery, University of Chicago, 5841 S Maryland Ave, Chicago, IL, 60637, USA.

Background: Cardiac left ventricular assist device (LVAD) placement is a common therapy for heart failure. Non-cardiac surgical care of these patients can be complex given the need for anticoagulation, perioperative monitoring, comorbidities, and anatomical considerations due to the device itself. There are no guidelines or significant patient series reported to date for laparoscopic procedures in this population. Read More

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http://link.springer.com/10.1007/s00464-018-6497-1
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http://dx.doi.org/10.1007/s00464-018-6497-1DOI Listing
October 2018
11 Reads

A technical note on low cost rat laparoscopy an initial experience.

Acta Cir Bras 2018 Sep;33(9):853-861

PhD, Full Professor, Head, Centre of Experimental Surgical, Coordinator of Postgraduate Program in Surgical Science, Department of Surgery, School of Medicine, UFRJ, Rio de Janeiro-RJ, Brazil. Intellectual, conception and design of the study, manuscript preparation, critical revision, final approval.

Purpose: To evaluate a novel and adapted low-cost set model for laparoscopic surgery in rats.

Methods: Nine Wistar rats underwent two different laparoscopic procedures, splenectomy (n=3) and distal pancreatectomy with splenectomy (n = 6), after assembling a low-cost set replacing the conventional one (monitor, micro camera, image processor, light source, laparoscope and insufflator). The new set included an Android Tablet 10. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/s0102-865020180090000014DOI Listing
September 2018
11 Reads

Laparoscopic near-total splenectomy: a single-center experience of a standardized procedure.

Minim Invasive Ther Allied Technol 2018 Oct 11:1-6. Epub 2018 Oct 11.

a Department of Laparoscopic and Robotic General Surgery , Azienda Ospedaliera dei Colli "Monaldi Hospital" , Naples , Italy.

Background: Near-total splenectomy (NTS) represents an innovative and effective surgery technique for spleen disease, reducing the risk of severe infections and thromboembolic events after total splenectomy. The authors reported a laparoscopic near-total splenectomy (LNTS) surgical experience following the optimal results of the open approach, describing a standardized and effective minimally invasive technique with the purpose of preserving a minimal residual spleen.

Material And Methods: From November 2006 to September 2016, 15 patients with splenic and hematologic disease underwent LNTS, according to a laparoscopic procedure developed by the authors. Read More

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https://www.tandfonline.com/doi/full/10.1080/13645706.2018.1
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http://dx.doi.org/10.1080/13645706.2018.1521433DOI Listing
October 2018
1 Read

[Clinical Significance of Detecting Tissue Factor and Tissue Factor Pathway Inhibitor in Thalassemia Patients].

Zhongguo Shi Yan Xue Ye Xue Za Zhi 2018 Oct;26(5):1471-1476

Department of Hematology,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi Zhuang Autonomous

Objective: To investigate the changes of E-selectin, thrombin-antithrombin complex(TAT), prothrombin fragment 1+2(F1+2), tissue factor(TF)and tissue factor pathway inhibitor(TFPI)before and one year after splenectomy in thalassemia patients.

Methods: A total of 30 thalassemia patients undergoing electric laparoscopic splenectomy and 30 normal controls(NC) were enrolled in the study.Plasma levels of E-selectin, TAT, F1+2, TF and TFPI were detected by enzyme-linked immuno sorbent assay(ELISA).

Results: One year after splenectomy,the plasma concentrations of E-selectin, TAT, F1+2, TF, TFPI were significantly higher than those in both preoperative and NC groups.Levels of E-selectin, TAT, F1+2 before splenectomy were significantly higher than those in NC groups. Read More

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http://dx.doi.org/10.7534/j.issn.1009-2137.2018.05.036DOI Listing
October 2018
3 Reads

Laparoscopic splenectomy and azygoportal disconnection combining with pre- and postoperative endoscopic intervention - A sandwich-style sequential therapy for portal hypertensive bleeding: A retrospective cohort study.

Turk J Gastroenterol 2018 11;29(6):669-675

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

Background/aims: In patients who survive the first esophageal variceal bleeding (EVB) resulting from portal hypertension, the probability of fatal esophageal variceal re-bleeding (EVR) is high. We have developed a sandwich-style sequential therapy combining laparoscopic splenectomy and azygoportal disconnection (LSD) with preoperative and postoperative endoscopic intervention (LSDE). The aim of the present study was to investigate whether LSDE is safe and effective and to evaluate whether the postoperative EVR rate for LSDE was lower than that for LSD without periodical postoperative endoscopic intervention (NLSDE). Read More

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http://dx.doi.org/10.5152/tjg.2018.18106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284672PMC
November 2018
2 Reads

Isolated pancreatic tail remnants after transgastric necrosectomy can be observed.

J Surg Res 2018 Nov 14;231:109-115. Epub 2018 Jun 14.

Division of Surgical Oncology, Department of Surgery, Stanford University, Stanford, California.

Background: Severe necrotizing pancreatitis may result in midbody necrosis and ductal disruption leaving an isolated pancreatic tail. The purpose of this study was to characterize outcomes among patients with an isolated tail remnant who underwent transgastric drainage or necrosectomy (endoscopic or surgical) and determine the need for subsequent operative management.

Materials And Methods: Patients with necrotizing pancreatitis and retrogastric walled-off collections treated by surgical transgastric necrosectomy or endoscopic cystgastrostomy ± necrosectomy between 2009 and 2017 were identified by a retrospective chart review. Read More

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http://dx.doi.org/10.1016/j.jss.2018.05.020DOI Listing
November 2018
7 Reads

Comparison of Efficacy of Laparoscopic and Open Splenectomy Combined With Selective and Nonselective Pericardial Devascularization in Portal Hypertension Patients.

Surg Laparosc Endosc Percutan Tech 2018 Dec;28(6):401-403

College of Pharmacy, Hubei University of Chinese Medicine, Wuhan, China.

Background: Recent advances in laparoscopic techniques have demonstrated that laparoscopy is superior for managing portal hypertension. This study aimed to compare the efficacy of laparoscopic splenectomy plus selective pericardial devascularization (LSSD) and open splenectomy and nonselective pericardial devascularization (OSD) in patients with portal hypertension.

Methods: A total of 127 patients with portal hypertension underwent either LSSD or OSD at Jingzhou Central Hospital from January 2014 to December 2016. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000581DOI Listing
December 2018
6 Reads

Laparoscopy and Computed Tomography Imaging in Advanced Ovarian Tumors: A Roadmap for Prediction of Optimal Cytoreductive Surgery.

Gynecol Minim Invasive Ther 2018 Apr-Jun;7(2):66-69. Epub 2018 May 2.

Gyne-Oncology Specialized Center, Shatby Maternity University Hospital, Alexandria University, Alexandria, Egypt.

Introduction: Comprehensive staging laparotomy and cytoreductive surgery followed by chemotherapy has been the standard of care in advanced ovarian cancer. Neoadjuvant chemotherapy is an alternative in inoperable advanced cases. To select patients amenable for successful cytoreduction, major determinants including CT imaging and laparoscopy could be of value. Read More

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http://www.e-gmit.com/text.asp?2018/7/2/66/231752
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http://dx.doi.org/10.4103/GMIT.GMIT_1_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6113992PMC
May 2018
2 Reads

Thrombocytosis and portal vein thrombosis after splenectomy for paediatric haemolytic disorders: How should they be managed?

J Paediatr Child Health 2018 Nov 23;54(11):1184-1188. Epub 2018 Sep 23.

Department of Paediatric Surgery, Wellington Hospital, Wellington, New Zealand.

Splenectomy is indicated in selected children with haemolytic anaemia. Postoperatively, thrombocytosis occurs in at least 80% and is one of the factors implicated in the development of acute portal venous thrombosis after splenectomy in adults. A literature review shows that children are also at risk of this complication, but the incidence is low. Read More

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http://dx.doi.org/10.1111/jpc.14227DOI Listing
November 2018
7 Reads

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

Ann Ital Chir 2018 Jul 11;7. Epub 2018 Jul 11.

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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July 2018
17 Reads
0.683 Impact Factor

Complex distal pancreatectomy outcomes performed at a single institution.

Surg Oncol 2018 Sep 31;27(3):428-432. Epub 2018 May 31.

Helen F. Graham Cancer Center & Research Institute at Christiana Care Health System, 4701 Ogletown-Stanton Road, Newark, DE, 19713, USA. Electronic address:

Objective: Discuss the outcomes of distal pancreatectomy in a high volume academic community cancer center.

Introduction: Distal pancreatectomy can be done with minimal morbidity and mortality in high volume centers. However, there are limited reports of distal pancreatectomy being performed in the community. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09607404183013
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http://dx.doi.org/10.1016/j.suronc.2018.05.030DOI Listing
September 2018
9 Reads

Liver Retraction Using n-Butyl-2-Cyanoacrylate (NBCA) Glue during Laparoscopic Splenectomy and Azygoportal Disconnection in Cirrhotic Patients.

Biomed Res Int 2018 19;2018:3064046. Epub 2018 Aug 19.

Department of General Surgery, Qilu Hospital of Shan Dong University, Jinan 250012, China.

Background: Although liver retraction using n-butyl-2-cyanoacrylate (NBCA) glue has been applied to laparoscopic upper abdominal surgery in noncirrhotic patients, there is still no consensus on its safety and feasibility for cirrhotic patients. In this study, we aimed to investigate the safety and effectiveness of liver retraction using NBCA glue during laparoscopic splenectomy and azygoportal disconnection (LSD) for gastroesophageal varices and hypersplenism secondary to liver cirrhosis and portal hypertension.

Methods: Thirty-nine gastroesophageal varices and hypersplenism secondary to liver cirrhosis and portal hypertension patients were included in our study. Read More

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http://dx.doi.org/10.1155/2018/3064046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120335PMC
January 2019
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Laparoscopic drainage of splenic abscess to avoid splenectomy.

Pediatr Int 2018 Sep 5;60(9):898-900. Epub 2018 Sep 5.

Department of Pediatrics, Kyoto First Red Cross Hospital, Higashiyamaku, Kyoto, Japan.

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http://dx.doi.org/10.1111/ped.13653DOI Listing
September 2018
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Laparoscopic Partial Splenectomy: A Safe and Feasible Treatment for Splenic Benign Lesions.

Surg Laparosc Endosc Percutan Tech 2018 Oct;28(5):287-290

Department of Hepatobiliary and Pancreatic Surgery, Jinhua Hospital, Zhejiang University, Jinhua, China.

Purpose: The purpose of this study was to explore the safety and feasibility of laparoscopic partial splenectomy in treating splenic benign lesions (SBL).

Materials And Methods: A total of 16 SBL patients clearly diagnosed before surgery (8 cases of splenic cysts, 5 cases of splenic lymphangioma, and 3 cases of splenic hemangioma) underwent 2D or 3D laparoscopic partial splenectomy from October 2013 to August 2016. The diameters of the SBL were 5 to 17 cm with an average of 8. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000568DOI Listing
October 2018

Laparoscopic versus open splenectomy for splenomegaly: the verdict is unclear.

Surg Endosc 2018 Aug 27. Epub 2018 Aug 27.

Department of General Surgery, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.

Background: The benefits of laparoscopic splenectomy (LS) over open splenectomy (OS) for normal-sized spleens have been well documented. However, the role of laparoscopy for moderate and massive splenomegaly is debated.

Methods: A retrospective review of patients undergoing elective splenectomy at one institution from 1997 to 2017 was conducted. Read More

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http://dx.doi.org/10.1007/s00464-018-6394-7DOI Listing
August 2018
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Challenges and Results of Laparoscopic Splenectomy for Hematological Diseases in a Developing Country.

Minim Invasive Surg 2018 1;2018:4256570. Epub 2018 Aug 1.

Clinical Hematology and Bone Marrow Transplant Unit, Department of Medicine, Civil Service Hospital of Nepal, Kathmandu, Nepal.

Introduction: Though, in developed countries, laparoscopy is now a gold standard for splenectomy, we are lacking in this aspect in the eastern world. Splenectomy has mostly been performed by open surgery in our region. This is our effort to introduce laparoscopic splenectomy in our country. Read More

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http://dx.doi.org/10.1155/2018/4256570DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6093075PMC
August 2018
3 Reads