RT Journal
A1 Shayani V
T1 Invited critique: Laparoscopic splenectomy
JF Archives of Surgery
JO Archives of Surgery
YR 1999
FD January 1
VO 134
IS 1
SP 103
OP 103
DO 10.1001/archsurg.134.1.103
UL http://dx.doi.org/10.1001/archsurg.134.1.103
AB 
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.