Japanese Journal of National Medical Services
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
LAPAROSCOPIC SPLENECTOMY AND LAPAROSCOPIC PANCREAS RESECTION
Goro KANEDAToshitake TAKAHASHIManabu YAMAMOTOMinoru MATSUDAKen HAYASHI
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1999 Volume 53 Issue 12 Pages 764-768

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Abstract
Laparoscopic splenectomy has advantages as the minimally invasive surgery for the patient the same as the other laparoscopic treatments. Immune thrombocytopenic purpura (ITP) and hereditary spherocytosis (HS) are commonly applied to this surgery due to relative small size of spleen. Recently portal hypertension with splenomegaly is able to apply to laparoscopic splenectomy according to improvement of instruments and surgical techniques. Recent improvement of surgical stapler allows to ligate the splenic artery and vein all together which makes shorter and safer operation.
Laparoscopic treatments for pancreatic disease have been also started. Benign pancreatic tumors which locate in body or tail of pancreas and pancreatic cyst are applicable for this surgery. Diagnostic laparoscopy with intraoperative tissue biopsy is also applied for pancreatic tumor disease.
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© Japanese Society of National Medical Services
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