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. 2011 Jan;7(1):61-4.
doi: 10.4103/0972-9941.72383.

Single-port splenectomy: Current update and controversies

Eduardo M Targarona  1 , Maria B Lima, Carmen Balague, Manuel Trias
Affiliations

Single-port splenectomy: Current update and controversies

Eduardo M Targarona et al. J Minim Access Surg. 2011 Jan.

Abstract

Multiport laparoscopic splenectomy (LS) is considered the "gold standard" for the management of surgical diseases in normal or slightly enlarged spleens. The concept of minimal-invasive surgical techniques has progressed since the early 1990s from standard multiport laparoscopy to natural orifice transluminal endoscopic surgery (NOTES) and, more recently, to single-port access (SPA). In this paper, we describe our technique for SPA splenectomy and provide a critical review of the current literature on SPA for splenic diseases.Preliminary results published to date indicate that the spleen can be safely removed using single-incision surgery and all the authors have unanimously endorsed the feasibility of this approach. However, available evidence is still scarce. It is based only on case reports and one small series, with a total of 17 patents and, therefore, firm conclusions cannot yet be drawn and more experience and comparative trials are needed to determine the exact role of this interesting new approach.

Keywords: Endoscopic surgery; literature review; single-port access; splenectomy; surgical technique.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Patient position: full lateral decubitus
Figure 2a
Figure 2a
(a) Uno device (Ethicon) located at the umbilicus.
Figure 2b
Figure 2b
Intraoperative image of an hybrid single-port access splenectomy with the help of a 3-mm mininstrument
Figure 3a
Figure 3a
(a) Intraoperative image of a single-port access splenic cyst unroofing.
Figure 3b
Figure 3b
b: Postoperative aesthetic appeareance
See this image and copyright information in PMC

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