title: Minimally invasive splenectomy: an update and review.
abstract: Laparoscopic splenectomy (LS) has become an established standard of care in the management of surgical diseases of the spleen. The present article is an update and review of current procedures and controversies regarding minimally invasive splenectomy. We review the indications and contraindications for LS as well as preoperative considerations. An individual assessment of the procedures and outcomes of multiport laparoscopic splenectomy, hand-assisted laparoscopic splenectomy, robotic splenectomy, natural orifice transluminal endoscopic splenectomy and single-port splenectomy is included. Furthermore, this review examines postoperative considerations after LS, including the postoperative course of uncomplicated patients, postoperative portal vein thrombosis, infections and malignancy.
authors.affiliation: Faculty of Medicine, University of Calgary, Calgary, Alta.
authors.forename: Gary
authors.initials: G
authors.lastname: Gamme
authors.forename: Daniel W
authors.initials: DW
authors.lastname: Birch
authors.forename: Shahzeer
authors.initials: S
authors.lastname: Karmali
mesh_terms: D019072:Antibiotic Prophylaxis; D016063:Blood Loss, Surgical; D006801:Humans; D007239:Infections / Q000628:therapy; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D057605:Natural Orifice Endoscopic Surgery; D009369:Neoplasms; D011182:Postoperative Care; D011183:Postoperative Complications; D011300:Preoperative Care; D012371:Robotics; D013156:Splenectomy / Q000379:methods*