Open Vs Laparoscopic Splenectomy among Saudi Patients

Aljoufi, Ghadah Abdulsalam; Alsaffar, Amnah Hassan Mansour; Almatrafi, Ali Shuja; Alkosui, Sofanah Ahmad; Alanazi, Abdulaziz Mashuj; Alzuwayed, Abdulrahman Mohammed; Alkhuzaei, Fahad Matouq; AlGhamdi, Ahmed Abdullah; Bafarat, Abdullah Mohammed; Talab, Sultan Tareq; Alwabisi, Mohammed Hamdan; AlEsaeed, Yousef Ahmed H; Alharthi, Abdullah Mansour; Alkhuzaie, Wafa Saleh; Alayadhi, Demah  Hamoud; Alhirbish, Sulaiman Ahmed

Open Vs Laparoscopic Splenectomy among Saudi Patients

Document Type : Original Article

Authors

¹ Princess Nourah bint Abdulrahman University

² Maternity and Children Hospital-Dammam

³ Umm alqura University

⁴ Batterjee Medical College

⁵ King Saud University

⁶ Imam Abdulrahman Bin Faisal University

⁷ King Faisal Hospital

⁸ Alnaser Primary Health Care Center - Al Madinah

⁹ King Abdulaziz University

¹⁰ Gdansk Medical University

¹¹ King Abdulaziz Medical City for National Guard –Jeddah

¹² Ibn Sina National College, KSA

¹³ King Saud bin Abdulaziz University for Health Sciences

Abstract

The spleen is one of the most frequently injured intraperitoneal organs, and management of splenic injuries may require splenectomy. Traditionally, surgical removal of the spleen was done by an open approach using either an upper midline or left subcostal incision. Open splenectomy is performed in two major clinical scenarios: trauma and hematologic disease. With the advent of minimally invasive techniques, laparoscopic splenectomy has become a standard procedure for elective removal of the spleen for most indications. Nowadays laparoscopic splenectomy is the approach of choice for both benign and malignant diseases of the spleen. However, some contraindications still apply. The evolution of the technology has allowed though, cases which were considered to be absolute contraindications for performing a minimal invasive procedure to be treated with modified laparoscopic approaches. Moreover, the introduction of advanced laparoscopic tools for ligation resulted in less intraoperative complications. Today, laparoscopic splenectomy is considered safe, with better outcomes in comparison to open splenectomy, and the increased experience of surgeons allows operative times comparable to those of an open splenectomy. In this review we discussed the indications and the contraindications of laparoscopic splenectomy. Furthermore, we analyze the surgical techniques.

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