Laparoscopic Versus Open Splenectomy for Nontraumatic Diseases

Maurus, Christine; Schäfer, Markus; Müller, Markus K.; Clavien, Pierre‐Alain; Weber, Markus

doi:10.1007/s00268-008-9727-1

Cited by 39 publications

(35 citation statements)

References 29 publications

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“…18,19,28 However, analyses of our patients' postoperative hospital stays, time to recovery of full mobility, and analgesic requirements did not reveal significant differences between the 2 groups (e.g., mean hospital stays were 8.9 days for the mini-laparotomy group and 9.6 days for the laparoscopic group). This incongruence is likely due to patient selection; the majority of our patients required a VP shunt for bleeding-or tumor-related hydrocephalus.…”

Section: Time To Regain Full Mobility Analgesic Requirements and Lementioning

confidence: 94%

Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial

Schucht¹,

Banz

Trochsler

et al. 2015

JNS

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OBJECT In ventriculoperitoneal (VP) shunt surgery, laparoscopic assistance can be used for placement of the peritoneal catheter. Until now, the efficacy of laparoscopic shunt placement has been investigated only in retrospective and nonrandomized prospective studies, which have reported decreased distal shunt dysfunction rates in patients undergoing laparascopic placement compared with mini-laparotomy cohorts. In this randomized controlled trial the authors compared rates of shunt failure in patients who underwent laparoscopic surgery for peritoneal catheter placement with rates in patients who underwent traditional mini-laparotomy. METHODS One hundred twenty patients scheduled for VP shunt surgery were randomized to laparoscopic surgery or mini-laparotomy for insertion of the peritoneal catheter. The primary endpoint was the rate of overall shunt complication or failure within the first 12 months after surgery. Secondary endpoints were distal shunt failure, overall complication/ failure, duration of surgery and hospitalization, and morbidity. RESULTS The overall shunt complication/failure rate was 15% (9 of 60 cases) in the laparoscopic group and 18.3% (11 of 60 cases) in the mini-laparotomy group (p = 0.404). Patients in the laparoscopic group had no distal shunt failures; in contrast, 5 (8%) of 60 patients in the mini-laparotomy group experienced distal shunt failure (p = 0.029). Intraoperative complications occurred in 2 patients (both in the laparoscopic group), and abdominal pain led to catheter removal in 1 patient per group. Infections occurred in 1 patient in the laparoscopic group and 3 in the mini-laparotomy group. The mean durations of surgery and hospitalization were similar in the 2 groups. CONCLUSIONS While overall shunt failure rates were similar in the 2 groups, the use of laparoscopic shunt placement significantly reduced the rate of distal shunt failure compared with mini-laparotomy.

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Section: Time To Regain Full Mobility Analgesic Requirements and Lementioning

confidence: 94%

Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial

Schucht¹,

Banz

Trochsler

et al. 2015

JNS

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“…Lymphangiomatosis involves all the splenic parenchyma; therefore, a total splenectomy is the treatment needed. Laparoscopic splenectomy is considered as the procedure of choice for normal or moderately enlarged spleens, whereas in the case of severe splenomegaly, open splenectomy is preferred [6]. Pazopanib, a tyrosine kinase inhibitor, may cause stabilization of lymphangiomatosis through VEGF.…”

Section: Discussionmentioning

confidence: 99%

Giant Splenic Lymphangiomatosis in Adult: a Diagnostic Dilemma

et al. 2014

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Cystic lymphangiomatosis of the spleen occurs secondary to developmental malformation of the lymphatic system. It is one of the rare entities generally seen in children. It is usually seen in children. We report a case of cystic lymphangiomatosis of the spleen occurring in an adult woman presenting with massive splenomegaly. Total splenectomy was considered to be the treatment of choice for making definitive diagnosis and to exclude the presence of malignancy or other causes of massive splenomegaly

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“…Laparoscopic splenectomy is emerging as the procedure of choice in patients with a normal to moderately enlarged spleen but is considered a contraindication in patients with massive splenomegaly. 30 The most important aspect when considering treatment options is that surgery should be recommended immediately after the diagnosis has been established to avoid complications such as infection, hemorrhage, rupture, intestinal obstruction, and tumor enlargement that may eventually prevent complete removal. 27 The prognosis of splenic lymphangioma after resection is favorable.…”

Section: Treatment and Prognosismentioning

confidence: 99%

Splenic Lymphangioma

Ioannidis

Kahn

2015

Archives of Pathology &Amp; Laboratory Medicine

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Splenic lymphangioma is a rare malformation of the splenic lymphatic channels, mostly seen in children. It is characterized by the presence of cysts, resulting from increases in the size and number of thin-walled lymphatic vessels that are abnormally interconnected and dilated. The condition may be restricted to the spleen, but in most cases it involves multiple organs (systemic lymphangiomatosis). The clinical picture is variable; small lesions are often incidentally detected through imaging studies, while larger lesions can result in compression of organs, causing pain or rupture even after minor trauma. Therefore, splenic lymphangiomas should be considered in the differential diagnosis of splenomegaly or left upper quadrant pain even among adults and should be immediately treated with splenectomy; delay in the therapeutic intervention can lead to life-threatening complications.

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Laparoscopic Versus Open Splenectomy for Nontraumatic Diseases

Abstract: LS was preferred in younger patients with moderate splenomegaly, while massive splenomegaly mostly led to OS. In view of the absence of technique-related differences, LS can primarily be attempted in all patients.

Cited by 39 publications

References 29 publications

Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial

Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial

Giant Splenic Lymphangiomatosis in Adult: a Diagnostic Dilemma

Splenic Lymphangioma

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