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Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Sep 16, 2017; 9(9): 428-437
Published online Sep 16, 2017. doi: 10.4253/wjge.v9.i9.428
Laparoscopic splenectomy: Current concepts
Evangelos P Misiakos, George Bagias, Theodore Liakakos, Anastasios Machairas
Evangelos P Misiakos, Anastasios Machairas, 3rd Department of Surgery, Attikon University Hospital, University of Athens School of Medicine, Attica, 12462 Athens, Greece
George Bagias, Clinic for General, Visceral and Transplant Surgery, Hannover Medical School, 30625 Hannover, Germany
Theodore Liakakos, 1st Department of Surgery, National and Kapodistrian University of Athens, Medical School, Laikon General Hospital, 11527 Athens, Greece
Author contributions: Misiakos EP contributed to study concept and design, literature review, interpretation of data; Bagias G contributed to literature review and writing of the paper; Liakakos T contributed to study supervision, mentorship, surgery part of the manuscript; Machairas A contributed to study guidance and supervision, editing the manuscript.
Conflict-of-interest statement: The authors declare they have no conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Evangelos P Misiakos, MD, FACS, Associate Professor of Surgery, 3rd Department of Surgery, Attikon University Hospital, University of Athens School of Medicine, 76 Aigeou Pelagous Street, Agia Paraskevi, 15 341, Attica, 12462 Athens, Greece. misiakos@med.uoa.gr
Telephone: +30-210-5326419
Received: February 10, 2017
Peer-review started: February 10, 2017
First decision: May 10, 2017
Revised: May 21, 2017
Accepted: July 21, 2017
Article in press: July 24, 2017
Published online: September 16, 2017
Processing time: 212 Days and 19.4 Hours
Core Tip

Core tip: With the advent of laparoscopic techniques, laparoscopic splenectomy has become the procedure of choice for benign and malignant diseases of the spleen. Splenomegaly can be alternatively treated with modified hand-assisted approach. In addition the introduction of advanced laparoscopic tools for ligation and electrocauterization contributed to reduced blood loss at surgery and minimal morbidity.