Abstract
Laparoscopic splenectomy reduces the morbidity associated with open access surgery. Obtaining haemostasis in laparoscopic splenectomy is a challenge. In cases described in this series haemostasis was achieved with titanium clips, bipolar diathermy and ultrasonic dissector. It is less costly to use of vascular staplers and quicker than intra corporeal suture ligation. Galle Medical Journal 2015 20(1): 8-9
Highlights
Splenectomy by open surgical access involves a midline or left sub costal incision which can cause a substantial morbidity
In order to prove the safety and efficacy of clips and energy sources which are less costly we present our experience using a series of patients who underwent the procedure
The vessels were controlled by bipolar diathermy, clips and divided with ultrasonic dissector
Summary
Splenectomy by open surgical access involves a midline or left sub costal incision which can cause a substantial morbidity. Post operative pain which can affect mobilization and breathing, wound infection and incisional hernia are a few to mention. These complications can be reduced by laparoscopic approach which requires smaller incisions [1,2,3]. In addition it provides a clear vision by magnification and zooming which enable a better surgical dissection [4]. Vascular staplers are effective in controlling the splenic vessels but are expensive. They may be controlled by clips where cost is considerably less but should be reliable to hold a large vessel well. In order to prove the safety and efficacy of clips and energy sources which are less costly we present our experience using a series of patients who underwent the procedure
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