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Open Vs Laparoscopic Splenectomy among Saudi Patients

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Last updated: 24 Dec 2024

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Abstract

The spleen is one of the most frequently injured intraperitoneal organs, and management of splenic injuries may require splenectomy. Traditionally, surgical removal of the spleen was done by an open approach using either an upper midline or left subcostal incision. Open splenectomy is performed in two major clinical scenarios: trauma and hematologic disease. With the advent of minimally invasive techniques, laparoscopic splenectomy has become a standard procedure for elective removal of the spleen for most indications.  Nowadays laparoscopic splenectomy is the approach of choice for both benign and malignant diseases of the spleen. However, some contraindications still apply. The evolution of the technology has allowed though, cases which were considered to be absolute contraindications for performing a minimal invasive procedure to be treated with modified laparoscopic approaches. Moreover, the introduction of advanced laparoscopic tools for ligation resulted in less intraoperative complications. Today, laparoscopic splenectomy is considered safe, with better outcomes in comparison to open splenectomy, and the increased experience of surgeons allows operative times comparable to those of an open splenectomy. In this review we discussed the indications and the contraindications of laparoscopic splenectomy. Furthermore, we analyze the surgical techniques.

Keywords

spleen, Laparoscopic Splenectomy, Open Splenectomy, Technique

Authors

First Name

Ghadah Abdulsalam

Last Name

Aljoufi

MiddleName

-

Affiliation

Princess Nourah bint Abdulrahman University

Email

ghadah.aljoufi@gmail.com

City

-

Orcid

-

First Name

Amnah Hassan Mansour

Last Name

Alsaffar

MiddleName

-

Affiliation

Maternity and Children Hospital-Dammam

Email

-

City

-

Orcid

-

First Name

Ali Shuja

Last Name

Almatrafi

MiddleName

-

Affiliation

Umm alqura University

Email

-

City

-

Orcid

-

First Name

Sofanah Ahmad

Last Name

Alkosui

MiddleName

-

Affiliation

Batterjee Medical College

Email

-

City

-

Orcid

-

First Name

Abdulaziz Mashuj

Last Name

Alanazi

MiddleName

-

Affiliation

King Saud University

Email

-

City

-

Orcid

-

First Name

Abdulrahman Mohammed

Last Name

alzuwayed

MiddleName

-

Affiliation

Imam Abdulrahman Bin Faisal University

Email

-

City

-

Orcid

-

First Name

Fahad Matouq

Last Name

Alkhuzaei

MiddleName

-

Affiliation

King Faisal Hospital

Email

-

City

-

Orcid

-

First Name

Ahmed Abdullah

Last Name

AlGhamdi

MiddleName

-

Affiliation

Alnaser Primary Health Care Center - Al Madinah

Email

-

City

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Orcid

-

First Name

Abdullah mohammed

Last Name

Bafarat

MiddleName

-

Affiliation

King Abdulaziz University

Email

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City

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Orcid

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First Name

Sultan Tareq

Last Name

Talab

MiddleName

-

Affiliation

King Abdulaziz University

Email

-

City

-

Orcid

-

First Name

Mohammed Hamdan

Last Name

Alwabisi

MiddleName

-

Affiliation

King Abdulaziz University

Email

-

City

-

Orcid

-

First Name

Yousef Ahmed H

Last Name

AlEsaeed

MiddleName

-

Affiliation

Gdansk Medical University

Email

-

City

-

Orcid

-

First Name

Abdullah Mansour

Last Name

Alharthi

MiddleName

-

Affiliation

King Abdulaziz Medical City for National Guard –Jeddah

Email

-

City

-

Orcid

-

First Name

Wafa Saleh

Last Name

Alkhuzaie

MiddleName

-

Affiliation

Ibn Sina National College, KSA

Email

-

City

-

Orcid

-

First Name

Demah Hamoud

Last Name

Alayadhi

MiddleName

-

Affiliation

King Saud bin Abdulaziz University for Health Sciences

Email

-

City

-

Orcid

-

First Name

Sulaiman Ahmed

Last Name

Alhirbish

MiddleName

-

Affiliation

Imam Abdulrahman Bin Faisal University

Email

-

City

-

Orcid

-

Volume

70

Article Issue

10

Related Issue

2002

Issue Date

2018-01-01

Receive Date

2018-08-05

Publish Date

2018-01-01

Page Start

1,731

Page End

1,736

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_10245.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=10245

Order

3

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Open Vs Laparoscopic Splenectomy among Saudi Patients

Details

Type

Article

Created At

22 Jan 2023