TY  - JOUR
T1  - Invited critique: Laparoscopic splenectomy
AU  - Shayani V
Y1  - 1999/01/01
N1  - 10.1001/archsurg.134.1.103
JO  - Archives of Surgery
SP  - 103
EP  - 103
VL  - 134
IS  - 1
N2  - 
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.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.134.1.103
UR  - http://dx.doi.org/10.1001/archsurg.134.1.103
ER  -