There are two ways of carrying out a splenectomy: by open way or laparoscopy. But not all the patients are candidates for this last invasive mini method
Certain conditions as the intra-abdominal haemorrhage are limiting factors of the video surgery because they interfere with the capacity of the surgeon to visualize and dissect the blood-vessels. In general within the framework of an abdominal trauma the intervention of splenectomy is carried out by laparotomy
The size of the failure can limit the approach by laparoscopy because the handling of the body and the visualization of its pedicle are difficult in videochirurgie in the event of splénomegalie
Your surgeon can decides to convert the laparoscopic surgery with an open procedure in certain situations and for your security.
Conversion with an open technique should not be regarded as a failure of the procedure.
Conventional method: Splenectomy by laparotomy
Traditionally, the ablation of the failure is accomplished by using a large incision.
The splenectomy by laparotomy (apart from the abdominal trauma) requires a hospitalization of the patient during 4-7 days.
Between 2 and 6 weeks are necessary for a complete re-establishment.
Invasive mini method: Splenectomy by laparoscopy
The invasive mini approach comprises video specialized equipment and specific instruments which make it possible to the surgeon to remove it disastrous by several small incisions (compared to an important traditional median incision for an open approach).
The laparoscopic splenectomy is carried out under general anaesthesia.
The surgeon informs you of the risks and the potential advantages of the operation.
You will have to provide an assent written for the surgery.
The splenectomy by laparoscopy has the following advantages:
Less post-operative pain
Hospital stay court
Faster resumption of the food and the transit
Better cosmetic results
Reduction risks eventration /hernie (benefit parietal)
|Technique opératoire Splénectomie dr Vincenzo Salsano Montpellier dernière mise à jours Novembre