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. 2014 Apr-Jun;18(2):252-7.
doi: 10.4293/108680813X13693422518434.

Laparoscopic splenectomy coupled with laparoscopic cholecystectomy

Rosario Vecchio  1 , Eva Intagliata  2 , Salvatore Marchese  1 , Francesco La Corte  1 , Rossella Rosaria Cacciola  3 , Emma Cacciola  3
Affiliations

Laparoscopic splenectomy coupled with laparoscopic cholecystectomy

Rosario Vecchio et al. JSLS. 2014 Apr-Jun.

Abstract

Background and objectives: The aim of this study was to evaluate the results of laparoscopic surgery performed for coexisting spleen and gallbladder surgical diseases.

Methods: Between May 2004 and October 2012, 12 patients underwent concomitant laparoscopic splenectomy and cholecystectomy. Indications for surgery included idiopathic thrombocytopenic purpura in 5 patients, hereditary spherocytosis in 4 patients, and thalassemia intermedia in 3 patients.

Results: The mean operative time was 100 minutes (range, 80 -160 minutes), and the blood loss ranged from 0 to 150 mL (mean, 50 mL). The mean longitudinal diameter of the spleen was 14 cm. One patient required conversion to open procedure. An accessory spleen was detected and removed in one case. The mean length of hospital stay was 5 days. No deaths or other major intraoperative and/or postoperative complications occurred.

Conclusion: Provided that the technique is performed by an experienced surgical team, concomitant laparoscopic splenectomy and cholecystectomy is a safe and feasible procedure and may be considered for coexisting spleen and gallbladder diseases.

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Figures

Figure 1.
Figure 1.
Trocar positions for combined laparoscopic splenectomy and cholecystectomy in our experience.
See this image and copyright information in PMC

References

    1. Delaitre B, Maignien B. Splenectomy by the laparoscopic approach. Report of a case. Presse Med. 1991;20(44):2263. - PubMed
    1. Nobili C, Romano F, Ciravegna AL, et al. Consecutive concomitant laparoscopic splenectomy and cholecystectomy: an Italian experience of 30 patients and proposition of a technique. J Laparoendosc Adv Surg Tech. 2011;21(4):313–317 - PubMed
    1. Sasaki A, Nitta H, Otuska K, Kimura Y, Obuchi T, Wakabayashi G. Concomitant laparoscopic splenectomy and cholecystectomy. Surg Laparosc Endosc Percutan Tech. 2010;20(2):66–68 - PubMed
    1. Patkowski D, Wróbel G, Sokól A, et al. Laparoscopic splenectomy in children: experience in a single institution. J Laparoendosc Adv Surg Tech A. 2007;17(2):230–234 - PubMed
    1. Wadhwa A, Chowbey PK, Sharma A, et al. Combined procedures in laparoscopic surgery. Surg Laparosc Endosc Percutan Tech. 2003;13:382–386 - PubMed

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