title: [Analysis of two different operative techniques for laparoscopic splenectomy].
abstract: BACKGROUND
  Laparosocopic splenectomy gradually became the gold standard procedure in the surgical treatment of certain haematological disorders. Operative experience in laparoscopic procedures facilitates the comparison of various techniques.
  
  
  OBJECTIVE
  Two variants in laparoscopic spelenectomy are analysed and presented.
  
  
  METHODS
  Sixteen patients underwent laparoscopic spelenectomy. Anterior- and postero-anterior laparoscopic approaches are compared with respect to clinicopathologic features.
  
  
  CONCLUSIONS
  Using the postero-anterior technique dissection of splenic hilum is more straightforward, recognition of accessory spleen is easier and the likelihood of intraoperative complications is less. In selected cases of splenomegaly the anterior technique is recommended though.
authors.affiliation: Semmelweis Egyetem II. sz. Sebészeti Klinika 1125 Budapest Kútvölgyi út 4. bgabor@kut.sote.hu
authors.forename: Gábor
authors.initials: G
authors.lastname: Bognár
authors.forename: Gábor
authors.initials: G
authors.lastname: István
authors.forename: György
authors.initials: G
authors.lastname: Ledniczky
authors.forename: Loránd
authors.initials: L
authors.lastname: Barabás
authors.forename: Pál
authors.initials: P
authors.lastname: Ondrejka
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D013156:Splenectomy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome