title: Case report of pediatric laparoscopic splenectomy with technical review.
abstract: Laparoscopic splenectomy has been accepted as a feasible extension of minimally invasive surgery, which has undergone dramatic improvements in both technology and instrumentation. We performed a laparoscopic splenectomy in a 7-year-old girl with hereditary spherocytosis. The patient recovered rapidly and returned to unrestricted activities quickly. The appropriate positioning of each laparoscopic port is essential for a good operative view and smooth access. It is also important to dissect the hilum of the spleen meticulously. Laparoscopic splenectomy in the pediatric age group appears to be another promising extension of laparoscopic surgery.
authors.affiliation: Department of Abdominal Surgery, Tenri Hospital, Nara, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Fujikawa
authors.forename: Y
authors.initials: Y
authors.lastname: Kato
authors.forename: K
authors.initials: K
authors.lastname: Takaori
authors.forename: Y
authors.initials: Y
authors.lastname: Nakamura
authors.forename: S
authors.initials: S
authors.lastname: Matsusue
authors.forename: H
authors.initials: H
authors.lastname: Takeda
mesh_terms: D000203:Activities of Daily Living; D002648:Child; D004210:Dissection / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods; D008022:Ligaments / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures; D010179:Pancreas / Q000033:anatomy & histology; D013103:Spherocytosis, Hereditary / Q000601:surgery*; D013156:Splenectomy / Q000295:instrumentation / Q000379:methods*; D013157:Splenic Artery / Q000601:surgery; D013162:Splenic Vein / Q000601:surgery