Aljoufi, G., Alsaffar, A., Almatrafi, A., Alkosui, S., Alanazi, A., alzuwayed, A., Alkhuzaei, F., AlGhamdi, A., Bafarat, A., Talab, S., Alwabisi, M., AlEsaeed, Y., Alharthi, A., Alkhuzaie, W., Alayadhi, D., Alhirbish, S. (2018). Open Vs Laparoscopic Splenectomy among Saudi Patients. The Egyptian Journal of Hospital Medicine, 70(10), 1731-1736.
Ghadah Abdulsalam Aljoufi; Amnah Hassan Mansour Alsaffar; Ali Shuja Almatrafi; Sofanah Ahmad Alkosui; Abdulaziz Mashuj Alanazi; Abdulrahman Mohammed alzuwayed; Fahad Matouq Alkhuzaei; Ahmed Abdullah AlGhamdi; Abdullah mohammed Bafarat; Sultan Tareq Talab; Mohammed Hamdan Alwabisi; Yousef Ahmed H AlEsaeed; Abdullah Mansour Alharthi; Wafa Saleh Alkhuzaie; Demah Hamoud Alayadhi; Sulaiman Ahmed Alhirbish. "Open Vs Laparoscopic Splenectomy among Saudi Patients". The Egyptian Journal of Hospital Medicine, 70, 10, 2018, 1731-1736.
Aljoufi, G., Alsaffar, A., Almatrafi, A., Alkosui, S., Alanazi, A., alzuwayed, A., Alkhuzaei, F., AlGhamdi, A., Bafarat, A., Talab, S., Alwabisi, M., AlEsaeed, Y., Alharthi, A., Alkhuzaie, W., Alayadhi, D., Alhirbish, S. (2018). 'Open Vs Laparoscopic Splenectomy among Saudi Patients', The Egyptian Journal of Hospital Medicine, 70(10), pp. 1731-1736.
Aljoufi, G., Alsaffar, A., Almatrafi, A., Alkosui, S., Alanazi, A., alzuwayed, A., Alkhuzaei, F., AlGhamdi, A., Bafarat, A., Talab, S., Alwabisi, M., AlEsaeed, Y., Alharthi, A., Alkhuzaie, W., Alayadhi, D., Alhirbish, S. Open Vs Laparoscopic Splenectomy among Saudi Patients. The Egyptian Journal of Hospital Medicine, 2018; 70(10): 1731-1736.
Open Vs Laparoscopic Splenectomy among Saudi Patients
11King Abdulaziz Medical City for National Guard –Jeddah
12Ibn Sina National College, KSA
13King 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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