| Abstrakt: |
Laparoscopic splenectomy has been demonstrated as an effective and safe treatment for benign and malignant haematological disorders requiring spleen removal, as well as for splenic masses. However, many procedural and outcome factors are under continuous evaluation and others remain controversial. The procedure requires expertise in laparoscopic surgical techniques and meticulous dissection of the spleen. Management should include preoperative radiologic assessment to measure splenic volume, preoperative vaccination and heparin administration. The cost of the operation per se is higher with the laparoscopic method, but the overall cost is the same or reduced compared to the open procedure. Laparoscopic splenectomy incurs longer operation time, depending on the surgeon's experience, but results in shorter hospitalization, earlier return to full activity, decreased postoperative pain and a better cosmetic result. Additionally, it is associated with lower complication rates. The increasing experience of surgeons and the improvement in laparoscopic surgical equipment have lead to an increasing acceptance of laparoscopy as the preferred approach for splenectomy, even in patients with massive splenomegaly. [ABSTRACT FROM AUTHOR] |
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