Laparoscopic splenectomy in blunt trauma.
We describe the first reported use of laparoscopic splenectomy as initial treatment in high-grade blunt splenic trauma. A 21-year-old man sustained a blow to the left flank from a large construction pipe and was transferred to our hospital with a grade V splenic laceration and a grade II left peri-renal hematoma with hematuria. He was hemodynamically stable. He underwent a laparoscopic splenectomy shortly after arrival. The patient's renal injury was managed nonoperatively, and he was discharged home with no complications and has remained well.
Dissanaike
Sharmila
S
Division of General Surgery, Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
Frezza
Eldo E
EE
D000058:Accidental Falls; D000328:Adult; D006801:Humans; D010535:Laparoscopy; D008297:Male; D013154:Spleen / Q000293:injuries*; D013156:Splenectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000601:surgery*