Robot-assisted partial and total splenectomy

Pier C. Giulianotti, Nicolas C. Buchs, Pietro Addeo, Subhashini Ayloo, Francesco M. Bianco

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Background: The interest of robotics in performing partial and total splenectomy is poorly reported so far. We report herein our experience. Methods: From November 2001 to November 2009, 24 consecutive robotic splenectomies were performed by the same surgeon. All data were prospectively collected and reviewed retrospectively. Results: Twelve men and 12 women with a median age of 48 years underwent a robotic splenectomy, three of which were partial splenectomies. The indications were: ABO incompatibility for kidney transplantation (n = 7), haematological disease (n = 7) and miscellaneous pathologies (n = 10). Mean operative time was 199 ± 65 min. Median blood loss was 75 (range 5-300) ml. There was one intraoperative complication and two conversions. The postoperative morbidity was 8.3% with no mortality. Median hospital stay was 5.5 days. Conclusions: This series reports the safety and feasibility of robotic partial and total splenectomy. Its use as an alternative to the standard laparoscopic approach is particularly beneficial in more challenging cases.

Original languageEnglish (US)
Pages (from-to)482-488
Number of pages7
JournalInternational Journal of Medical Robotics and Computer Assisted Surgery
Volume7
Issue number4
DOIs
StatePublished - Dec 2011
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Biophysics
  • Computer Science Applications

Keywords

  • Laparoscopy
  • Partial splenectomy
  • Robot
  • Surgery

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