Laparoscopic splenectomy in a child
Epublication WebSurg.com, Jul 2018;18(07). URL: http://websurg.com/doi/vd01en5342
Laparoscopic splenic surgery, particularly in case of partial splenectomy, was made possible due to the introduction of numerous instruments (endostapler, various electrocautery systems). However, laparoscopic total splenectomy can be performed with minimal instruments. Dissection, ligation, and division of the splenic artery contribute to the washout kinetics of red cells and plasma from the spleen. During venous ligation, which should occur about 10 minutes after artery ligation, the spleen is of a lesser volume. The splenic venous network is collapsed and the patient will not experience any blood loss.