[Application of laparoscopic technique in splenectomy].
OBJECTIVE
To investigate the application and effect of laparoscopic splenectomy (LS) in the treatment of spleen diseases.


METHODS
Under CO2 pneumoperitoneum, laparoscopic splenectomy was performed on 43 patients. General conditions before and after operation, platelet counting, complications and recovery of patients were studied.


RESULTS
Laparoscopic splenectomy was performed without complications in all the patients. In the patients with ITP, the effective rate of LS was 89.3%. The difficulty of operation was identified when the diameter of the spleen was over 15 cm assessed by ultrasonic examination, and the operative time was usually prolonged.


CONCLUSIONS
LS is one of the best choices when proper indications exist and good techniques under laparoscopy are provided.
Tan
M
M
Division of Minimal Invasive Surgery, First Affiliated Hospital, Sun Yat-sen University of Medical Sciences, Guangzhou 510080, China.
Okada
M
M
Wu
Z
Z
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D013156:Splenectomy / Q000379:methods*; D013163:Splenomegaly / Q000601:surgery