title: [Laparoscopic splenectomy by the "Essen-manoeuvre" for treatment of benign and malignant haematological diseases].
abstract: Despite its early description, laparoscopic splenectomy has not yet reached the level of a standard operation as a therapeutic option for haematological disease, especially for malignant disorders. We performed laparoscopic splenectomies in a modified 4 port technique and dissection of the splenic vessels by the "Essen-Manoeuvre" and report on 68 attempted laparoscopic splenectomies for benign (n = 42) and malignant (n = 26) haematological disorders. Conversion rate was 9 %, 30-days-mortality was 1.4 %, perioperative morbidity was 11 %, respectively. Accessory spleens were found and resected in 17 % of our patients. Laparoscopic splenectomy is a new minimally invasive option for patients with benign and malignant haematological disease fraught with a special risk of intraoperative bleeding.
authors.affiliation: Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Evang. Huyssens-Stiftung, Germany. kpeitgen@kliniken-essen-mitte.de
authors.forename: K
authors.initials: K
authors.lastname: Peitgen
authors.forename: O
authors.initials: O
authors.lastname: Swienty
authors.forename: D W
authors.initials: DW
authors.lastname: Beelen
authors.forename: R
authors.initials: R
authors.lastname: Noppeney
authors.forename: M K
authors.initials: MK
authors.lastname: Walz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical / Q000517:prevention & control; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006402:Hematologic Diseases / Q000601:surgery*; D019337:Hematologic Neoplasms / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D013156:Splenectomy / Q000379:methods*; D013528:Surgical Staplers