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Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941 EISSN: 0972-9941
Vol. 7, No. 1, 2011, pp. 61-64
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Bioline Code: ma11011
Full paper language: English
Document type: Special Article
Document available free of charge
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Journal of Minimal Access Surgery, Vol. 7, No. 1, 2011, pp. 61-64
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Single-port splenectomy: Current update and controversies
Targarona, Eduardo M.; Lima, Maria B.; Balague, Carmen & Trias, Manuel
Abstract
Multiport laparoscopic splenectomy (LS) is considered
the “gold standard” for the management of surgical
diseases in normal or slightly enlarged spleens. The
concept of minimal-invasive surgical techniques has
progressed since the early 1990s from standard multiport
laparoscopy to natural orifice transluminal endoscopic
surgery (NOTES) and, more recently, to single-port
access (SPA). In this paper, we describe our technique
for SPA splenectomy and provide a critical review of the
current literature on SPA for splenic diseases.Preliminary
results published to date indicate that the spleen can be
safely removed using single-incision surgery and all the
authors have unanimously endorsed the feasibility of this
approach. However, available evidence is still scarce. It is
based only on case reports and one small series, with a
total of 17 patents and, therefore, firm conclusions cannot
yet be drawn and more experience and comparative trials
are needed to determine the exact role of this interesting
new approach.
Keywords
Endoscopic surgery, literature review, single-port access, splenectomy, surgical technique
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