RT Book, Section A1 Ellison, E. Christopher A1 Zollinger, Robert M. SR Print(0) ID 1127273795 T1 SPLENECTOMY, LAPAROSCOPIC T2 Zollinger's Atlas of Surgical Operations, 10e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 978-0-07-179755-9 LK accesssurgery.mhmedical.com/content.aspx?aid=1127273795 RD 2024/11/10 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