0
Invited Critique |

Invited Critique: Laparoscopic Splenectomy

Vafa Shayani, MD
Arch Surg. 1999;134(1):103. doi:10.1001/archsurg.134.1.103.
Text Size: A A A
Published online

Extract

Different techniques of laparsocopic splenectomy have been described previously. Drs Schlinkert and Teotia provide us with a concise presentation of their version of it. Clearly one technique does not apply to spleens of all sizes and types of anatomy.

Lessons learned from other laparoscopic operations should be applied to splenectomy as well. Anytime an operation traditionally performed using the open technique is approached laparoscopically, one should make every effort not to alter the key components of the operation. In the current report, an en masse ligation of the splenic artery and vein using a stapling device is recommended. This approach is only acceptable if the surgeon routinely does not identify and ligate the splenic artery and vein separately during open splenectomy. Additionally, the authors suggest division of the "massive" spleen into pieces within the peritoneal cavity to facilitate its retrieval. This maneuver clearly violates the principles of oncologic surgery and should rarely be considered.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
A report of a giant epidermoid splenic cyst. Afr J Paediatr Surg 2014 Jan-Mar;11(1):67-70.
Jobs
brightcove.createExperiences();