Hand-assisted laparoscopic splenectomy.
Laparoscopic splenectomy is performed routinely in patients with small and moderately enlarged spleens at specialized centers. Large spleens are difficult to handle laparoscopically and hand-assisted laparoscopic splenectomy might facilitate the procedure through enhanced vascular control, easier retraction and manipulation, manual guidance of endostaplers, and clip appliers. A technique of hand-assisted laparoscopic splenectomy is described.
Bemelman
W A
WA
Department of Surgery, Academic Medical Center, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands.
de Wit
L T
LT
Busch
O R
OR
Gouma
D J
DJ
D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D011028:Pneumoperitoneum, Artificial; D013156:Splenectomy / Q000295:instrumentation / Q000379:methods*