Casaccia M, Stabilini C, Gianetta E, Ibatici A, Santori G. Current concepts of laparoscopic splenectomy in elective patients. World J Surg Proced 2014; 4(2): 33-47 [DOI: 10.5412/wjsp.v4.i2.33]
Corresponding Author of This Article
Marco Casaccia, Professor, UOC Clinica Chirurgica 2, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Monoblocco XI piano-Largo Rosanna Benzi, 10-16132 Genova, Italy. marco.casaccia@unige.it
Research Domain of This Article
Surgery
Article-Type of This Article
Review
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Surg Proced. Jul 28, 2014; 4(2): 33-47 Published online Jul 28, 2014. doi: 10.5412/wjsp.v4.i2.33
Current concepts of laparoscopic splenectomy in elective patients
Marco Casaccia, Cesare Stabilini, Ezio Gianetta, Adalberto Ibatici, Gregorio Santori
Marco Casaccia, UOC Clinica Chirurgica 2, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Monoblocco XI piano-Largo Rosanna Benzi, 10-16132 Genova, Italy
Marco Casaccia, Cesare Stabilini, Ezio Gianetta, Surgical Clinic Unit II, IRCCS San Martino University Hospital-National Institute for Cancer Research, 10-16132 Genoa, Italy
Adalberto Ibatici, Division of Hematology 1, IRCCS San Martino University Hospital-National Institute for Cancer Research, 10-16132 Genoa, Italy
Gregorio Santori, Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, 10-16132 Genoa, Italy
Author contributions: Casaccia M ideated the study, collected the articles, analyzed their results and wrote the review; Stabilini C drafted the review and revised it critically for important intellectual content; Gianetta E substantial contributed to conception and design; Ibatici A revised it critically for important intellectual content; Santori G drafted the review and contributed to acquisition of data, analysis and interpretation of results; all authors approved the final draft.
Correspondence to: Marco Casaccia, Professor, UOC Clinica Chirurgica 2, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Monoblocco XI piano-Largo Rosanna Benzi, 10-16132 Genova, Italy. marco.casaccia@unige.it
Telephone: +39-010-5554539 Fax: +39-010-5556944
Received: April 7, 2014 Revised: May 13, 2014 Accepted: June 20, 2014 Published online: July 28, 2014
Core Tip
Core tip: Laparoscopic splenectomy (LS) has progressively become the “gold standard” for the surgical treatment of benign hematologic diseases, regardless of the presence or absence of splenomegaly. The majority of previous published data reflects a substantial recognition of the laparoscopic method, although several areas still remain controversial. This review aims to update the current procedures and emerging technologies concerning minimally invasive splenectomy. The main indications and concerns for LS, as well as pre- and intraoperative potential problems in case of massive splenomegaly are reviewed. An evaluation of the techniques and clinical results of multiport laparoscopic splenectomy, hand-assisted laparoscopic splenectomy, robotic splenectomy, and single-port splenectomy is carried out. Moreover, postoperative outcomes of LS are examined, together with the procedure-specific complications.
