Intraoperative Splenic Injuries

Author:

Chua Henry,Roble Vincent Matthew

Abstract

AbstractIntraoperative splenic injuries can occur in any abdominal surgical procedure. Reports range from vascular surgeons performing abdominal aortic aneurysm repairs to thoracic surgeons performing Nissen fundoplication to urologists performing radical nephrectomies [1]. Injury to the spleen during laparoscopic urological surgery has a reported incidence of 0.25% [2]. The reported incidence of splenic injury resulting in splenectomy during colonic surgery is 1.2–8%. The highest percentage of all incidental splenectomies are due to colonic surgeries, primarily to a large number of these operations and the close proximity between the colonic splenic flexure and the spleen [3]. Injuries to the spleen during laparoscopic adrenalectomy may be either access-related or caused by powerful retraction and handling of the organ [4].

Publisher

Springer Nature Singapore

Reference10 articles.

1. Holubar S. Splenic salvage after intraoperative splenic injury during colectomy. Arch Surg. 2009;144(11):1040–5.

2. Chung B, Desai MM, Gill IS. Management of intraoperative splenic injury during laparoscopic urological surgery. BJU Int. 2011;108(4):572–6.

3. Langevin J, Rothenberger D, Goldberg S. Accidental splenic injury during surgical treatment of the colon and rectum. Surg Gynecol Obstet. 1984;159(2):139–44.

4. Strebel R, Muntener M, Sulser T. Intraoperative complications of laparoscopic adrenalectomy. J Urol. 2008;26(6):555–60.

5. Cassar K, Munro A. Iatrogenic splenic injury. J R Collab Surg Edinb. 2002;47(6):731–41.

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