TY  - CHAP
M1  - Book, Section
TI  - Splenectomy, Laparoscopic
A1  - Ellison, E. Christopher
A1  - Zollinger, Jr., Robert M.
A1  - Pawlik, Timothy M.
A1  - Vaccaro, Patrick S.
A1  - Bitans, Marita
A1  - Baker, Anthony S.
Y1  - 2022
N1  - 
T2  - Zollinger’s Atlas of Surgical Operations, 11e
AB  - Laparoscopic  splenectomy  is  most  commonly  performed  for  immune  (idiopathic)  thrombocytopenic  purpura  or  other  splenic  conditions  causing  anemia  or  neutropenia.  Massive  trauma  to  the  spleen  and  overly  large  spleens  are  still  best  approached  with  open  laparotomy.  However,  virtually  all  other  indications  for  splenectomy  listed  in  Chapter  94  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  Neisseria  meningitidis  vaccination  prior  to  surgery.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/24
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1187822727
ER  -