TY - CHAP M1 - Book, Section TI - Splenectomy A1 - Hunter, John G. A1 - Spight, Donn H. A1 - Sandone, Corinne A1 - Fairman, Jennifer E. PY - 2018 T2 - Atlas of Minimally Invasive Surgical Operations AB - Indications for laparoscopic splenectomy are the same as indications for open splenectomy with the following exceptions: acute traumatic hemorrhage is better managed at laparotomy, and extreme splenomegaly prohibiting dissection and removal of the spleen through a small incision is a relative contraindication. The most common indications include hematologic disorders such as idiopathic thrombocytopenic purpura (ITP), which accounts for more than 40% of reported laparoscopic splenectomies. Hereditary spherocytosis, idiopathic autoimmune hemolytic anemia, Felty syndrome, thalassemia, sarcoidosis, sickle cell disease, Gaucher’s disease, congenital and acquired hemolytic anemia, thrombotic thrombocytopenic purpura, and AIDS-associated ITP are rare diseases for which splenectomy may be indicated. Laparoscopic splenectomy is also indicated for secondary hypersplenism, splenic artery aneurysm, splenic cyst, and splenic tumor. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1162531234 ER -