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Laparoscopic resection of splenic artery aneurysms

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Abstract

Background

Laparoscopic techniques used to manage asymptomatic splenic artery aneurysms have been reported infrequently.

Methods

A laparoscopic splenic artery aneurysm resection was attempted for six consecutive patients.

Results

One patient underwent conversion to laparotomy because of a tear in the splenic vein. Among the five successful laparoscopic splenic artery aneurysm resections, the mean estimated blood loss was 37 ± 12.6 ml, the mean operative time was 187.6 ± 79.2 min, and the mean postoperative length of hospital stay was 1.8 ± 1.3 days. The mean time to a clear liquid diet was 5.3 ± 0.5 h, and the mean time to a regular diet was 1 ± 0 day. The mean duration of narcotic analgesic use was 5.4 ± 1.5 days, and the mean time to resumption of regular activities was 12.7 ± 1.6 days.

Conclusions

These cases illustrate the benefit of a laparoscopic approach with brief hospitalizations, early resumption of diet and regular activity, and minimal use of postoperative narcotic analgesics.

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Authors and Affiliations

  1. Department of Surgery, The Methodist Hospital, Houston, TX, USA

    P. R. Reardon, E. Otah, E. S. Craig & M. J. Reardon

  2. Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA

    B. D. Matthews

Authors
  1. P. R. Reardon
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  2. E. Otah
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  3. E. S. Craig
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  4. B. D. Matthews
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  5. M. J. Reardon
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Correspondence to P. R. Reardon.

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Reardon, P.R., Otah, E., Craig, E.S. et al. Laparoscopic resection of splenic artery aneurysms. Surg Endosc 19, 488–493 (2005). https://doi.org/10.1007/s00464-004-8916-8

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  • DOI: https://doi.org/10.1007/s00464-004-8916-8

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