title: [Total laparoscopic splenectomy for a patient with multiple surgeries including living donor liver transplantation].
abstract: The case was a 50 years old female, with history of multiple previous surgeries including living donor liver transplantation for primary biliary cirrhosis, pancreatoduodenectomy for carcinoma in the duodenal papilla Vater, revision of Roux-en-Y anastomosis for intractable cholangitis due to short Roux limb. She was hospitalized this time for decompensated liver cirrhosis due to recurrent cholangitis, with apparent hypersplenism and risky esophageal varices. After a few session of endoscopic treatment for esophageal varices, we applied total laparoscopic splenectomy for hypersplenism in a patient with multiple surgical histories, for seeking better surgical field for safety. The surgery was completed as planned preoperatively under good surgical field.
authors.affiliation: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University. yano.h@ns.yawata-mhp.or.jp
authors.forename: Hiroko
authors.initials: H
authors.lastname: Yano
authors.forename: Toru
authors.initials: T
authors.lastname: Ikegami
authors.forename: Tomoharu
authors.initials: T
authors.lastname: Yoshizumi
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Akahoshi
authors.forename: Morimasa
authors.initials: M
authors.lastname: Tomikawa
authors.forename: Hideaki
authors.initials: H
authors.lastname: Uchiyama
authors.forename: Yuji
authors.initials: Y
authors.lastname: Soejima
authors.forename: Ken
authors.initials: K
authors.lastname: Shirabe
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
mesh_terms: D000713:Anastomosis, Roux-en-Y; D006801:Humans; D006971:Hypersplenism / Q000601:surgery; D010535:Laparoscopy; D016031:Liver Transplantation; D019520:Living Donors; D008875:Middle Aged; D016577:Pancreaticoduodenectomy; D013156:Splenectomy / Q000379:methods*