Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 1996 Apr;10(4):389-92.
doi: 10.1007/BF00191621.

Laparoscopic splenectomy: an evolving technique. A comparison between anterior and lateral approaches

M Trias  1 , E M Targarona, C Balagué
Affiliations
Comparative Study

Laparoscopic splenectomy: an evolving technique. A comparison between anterior and lateral approaches

M Trias et al. Surg Endosc. 1996 Apr.

Abstract

Background: The success of laparoscopic cholecystectomy has favored the application of this technique in abdominal surgery. Laparoscopic splenectomy (LS) suffers from several technical problems for mobilization and manipulation of a solid organ. Lateral approach has been proposed as an alternative to the anterior approach which facilitates LS. The aim of this paper is to compare the results of LS using and anterior or lateral approach.

Methods: Between February 1993 and May 1995, 27 LS were performed (group I, Ant-LS, n: 10; group II, Lat-SL, n: 17). LS was indicated in 19 patients for treatment of an idiopathic purpura, for spherocytosis in four; for AIDS-related thrombocytopenia in two; and for autoimmune anemia and leucopenia in two. Gallstones were associated in two cases and an ovarian cyst in another.

Results: LS was completed in 8 patients of group I (80%) and 17 of group II (100%). Operative time (236 +/- 21 min vs 159 +/- 71 min p < 0.003), number of trocars (4.5 +/- 0.5 vs 4 +/- 0.5, p < 0.02), transfusion requirements (60 vs 17%, p < 0.04) and mean stay (6.5 +/- 3.6 days vs 4 +/- 2 days, p < 0.05) were significantly lower in the group of LS with a lateral approach.

Conclusions: The lateral approach significantly facilitates the performance of LS compared with the anterior approach.

PubMed Disclaimer

Comment in

References

    1. Surgery. 1993 Sep;114(3):613-8 - PubMed
    1. Surg Endosc. 1995 Feb;9(2):172-6; discussion 176-7 - PubMed
    1. Mayo Clin Proc. 1994 May;69(5):422-4 - PubMed
    1. Endosc Surg Allied Technol. 1994 Dec;2(6):288-92 - PubMed
    1. J R Coll Surg Edinb. 1992 Dec;37(6):414-6 - PubMed

Publication types

LinkOut - more resources