Single Incision Laparoscopic Splenectomy: Our First Experiences

Single Incision Laparoscopic Splenectomy: Our First Experiences

Objective: Most laparoscopic surgeons have attempted to reduce incisional morbidity and improve cosmetic outcomes by using less and smaller trocars. Single incision laparoscopic splenectomy is a new laparoscopic procedure. Herein we would like to present our experiences. Material and Methods: Between January 2009 and June 2009, data of the 7 patients who underwent single incision laparoscopic splenectomy were evaluated retrospectively. Results: There were 7 patients (5 females and 2 males) with a mean age of 29.9 years. The most common splenectomy indication was idiopathic thrombocytopenic purpura. Single incision laparoscopic splenectomy was performed successfully in 6 patients. In one patient the operation was converted to an open procedure. Conclusion: With surgeons experienced in minimally invasive surgery, single incision laparoscopic splenectomy could be performed successfully. However, in order to demonstrate the differneces between standard laparoscopic splenectomy and SILS splenetomy, prospective randomized comparative studies are required.

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  • Semm K. Endoscopic appendectomy. Endoscopy1983;2:59-64. [CrossRef]
  • Langwieler TE, Nimmesgern T, Back M. Single-port access in laparoscopic cholecystectomy. Surg Endosc 2009;5:1138-41. [CrossRef]
  • Brodsky JA, Brody FJ, Walsh RM, Malm JA, Ponsky JL. Laparo- scopic splenectomy. Surg Endosc 2002;5:851-4. [CrossRef]
  • Maartense S, Bemelman WA, Gerritsen van der Hoop A, Meijer DW, Gouma DJ. Hand-assisted laparoscopic surgery (HALS): a re- port of 150 procedures. Surg Endosc 2004;3:397-401. [CrossRef]
  • Irwin BH, Rao PP, Stein RJ, Desai MM. Laparoendoscopic sin- gle site surgery in urology. Urol Clin North Am 2009;2:223-35. [CrossRef]
  • Seven R, Barbaros U. Needloskopi yardımlı transvaginal kole- sistektomi: İlk Ulusal N.O.T.E.S deneyimi. Ulusal Cerrahi Dergisi 2009;1:29-32.
  • Barbaros U, Dinççağ A. Single Incision Laparoscopic Splenectomy: The First Two Cases. J Gastrointest Surg 2009. [Epub ahead of print] [CrossRef]
  • Chamberlain RS, Sakpal SV. A Comprehensive Review of Single- Incision Laparoscopic Surgery (SILS) and Natural OriŞ ce Translu- minal Endoscopic Surgery (NOTES) Techniques for Cholecystec- tomy. J Gastrointest Surg 2009. [Epub ahead of print] [CrossRef]
  • Mouret P. How I developed laparoscopic cholecystectomy? Ann Acad Med Singapore 1996;25:744-7.
  • Filipovic-Cugura J, Kirac I, Kulis T, Jankovic J, Bekavac-Beslin M. Single-incision laparoscopic surgery (SILS) for totally extra- peritoneal (TEP) inguinal hernia repair: Ş rst case. Surg Endosc 2009;4:920-1. [CrossRef]
  • Merchant AM, Cook MW, White BC, Davis SS, Sweeney JF, Lin E. Transumbilical Gelport access technique for performing single incision laparoscopic surgery (SILS). J Gastrointest Surg 2009;1:159-62. [CrossRef]
  • Bucher P, Pugin F, Morel P. Transumbilical single-incision laparo- scopic intracorporeal anastomosis for gastrojejunostomy: case report. Surg Endosc 2009;7:1667-70. [CrossRef]
  • Reavis KM, Hinojosa MW, Smith BR, Nguyen NT. Single-laparo- scopic incision transabdominal surgery sleeve gastrectomy. Obes Surg 2008;11:1492-4. [CrossRef]
  • Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis 2008;10:1013-6. [CrossRef]
  • Hodgett SE, Hernandez JM, Morton CA, Ross SB, Albrink M, Rosemurgy AS. Laparoendoscopic single site (LESS) cholecystec- tomy. J Gastrointest Surg 2009;2:188-92. [CrossRef]
  • Delaitre B, Bonnichon P, Barthes T, Dousset B. Laparoscopic sple- nectomy. The “hanging spleen technique” in a series of nineteen cases. Ann Chir 1995;6:471-476. French.
Balkan Medical Journal-Cover
  • ISSN: 2146-3123
  • Başlangıç: 2015
  • Yayıncı: Erkan Mor
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