Surgical laparoscopy, endoscopy & percutaneous techniques · 2011
Use of Nathanson retractor during laparoscopic splenectomy for supermassive spleens.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Bhandarkar Deepraj, Katara Avinash, Mittal Gaurav, Udwadia Tehemton E
Аннотация
BACKGROUND: Although feasibility of laparoscopic splenectomy for supermassive spleens has been described, obtaining uniform and uninterrupted retraction of a heavy spleen to ensure safe hilar dissection is challenging. We describe a technique of retraction of supermassive spleens using a Nathanson retractor.
METHODS: This technique was used in 4 patients, and the demographic data as well as data related to the surgery were retrospectively collected.
RESULTS: The spleens weighed between 2.5 and 3.5 kg. The median operative time was 190 minutes (155-220 min) and the median intraoperative blood loss was 870 mL (600-1230 mL). The postoperative hospital stay ranged from 3 to 5 days.
CONCLUSIONS: A Nathanson retractor provides sustained retraction of a supermassive spleen during laparoscopic splenectomy and this technique should be considered a useful adjunct to the armamentarium of surgeons undertaking these challenging procedures.
METHODS: This technique was used in 4 patients, and the demographic data as well as data related to the surgery were retrospectively collected.
RESULTS: The spleens weighed between 2.5 and 3.5 kg. The median operative time was 190 minutes (155-220 min) and the median intraoperative blood loss was 870 mL (600-1230 mL). The postoperative hospital stay ranged from 3 to 5 days.
CONCLUSIONS: A Nathanson retractor provides sustained retraction of a supermassive spleen during laparoscopic splenectomy and this technique should be considered a useful adjunct to the armamentarium of surgeons undertaking these challenging procedures.