TY - CHAP M1 - Book, Section TI - SPLENECTOMY, LAPAROSCOPIC A1 - Ellison, E. Christopher A1 - Zollinger, Robert M. PY - 2016 T2 - Zollinger's Atlas of Surgical Operations, 10e AB - Laparoscopic splenectomy is most commonly performed for immune (idiopathic) thrombocytopenic purpura (ITP) or other splenic conditions causing anemia or neutropenia. Massive trauma to the spleen as well as overly large spleens are still best approached with an open laparotomy. However, virtually all other indications for splenectomy listed in Chapter 90 apply for laparoscopic splenectomy. A complete hematologic evaluation, including bone marrow studies, is essential. The patient must be informed of the lifelong consequences of increased susceptibility to bacterial infection. Ideally, the patient should receive polyvalent pneumococcal, Haemophilus influenzae, and SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1127273795 ER -