title: Laparoscopic splenectomy in blunt trauma.
abstract: 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.
authors.affiliation: Division of General Surgery, Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
authors.forename: Sharmila
authors.initials: S
authors.lastname: Dissanaike
authors.forename: Eldo E
authors.initials: EE
authors.lastname: Frezza
mesh_terms: 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*