Performance of Minimally Invasive Splenectomy

Publication Date: September 27, 2021

Recommendations

Based on collective experience, the panel suggests that preoperative imaging may be beneficial for patients with ITP undergoing elective, MIS. (expert opinion due to lack of evidence). ( Evidence Gap , )
612
The panel suggests that patients scheduled for elective MIS may be managed with either preoperative splenic artery embolization or no embolization based on the surgeon and patient’s shared decisions-making. ( Very Low , Conditional (weak) )
612
The panel suggests preoperative splenic artery embolization before elective, MIS in cirrhotic patients with portal hypertension and splenomegaly. ( Very Low , Conditional (weak) )
612
The panel suggests that drains not be used routinely during elective, MIS. ( Very Low , Conditional (weak) )
612
The panel suggests that lateral positioning be considered over supine positioning for elective, MIS. ( Very Low , Conditional (weak) )
612
The panel suggests that platelets be administered intra-operatively instead of pre-operatively during MIS for patients with ITP. ( Very Low , Conditional (weak) )
612
The panel suggests that mechanical devices be used to control the splenic hilum during elective, MIS instead of energy devices. ( Very Low , Conditional (weak) )
612

Recommendation Grading

Disclaimer

Overview

Title

Performance of Minimally Invasive Splenectomy

Authoring Organization

Publication Month/Year

September 27, 2021

Document Type

Guideline

Country of Publication

US

Inclusion Criteria

Male, Female, Adolescent, Adult, Child, Older adult

Health Care Settings

Hospital, Outpatient, Operating and recovery room

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Assessment and screening, Treatment, Management

Diseases/Conditions (MeSH)

D013156 - Splenectomy

Keywords

minimally invasive surgery, splenectomy, laparoscopic splenectomy

Source Citation

Kindel TL, Dirks RC, Collings AT, Scholz S, Abou-Setta AM, Alli VV, Ansari MT, Awad Z, Broucek J, Campbell A, Cripps MW, Hollands C, Lim R, Quinteros F, Ritchey K, Whiteside J, Zagol B, Pryor AD, Walsh D, Haggerty S, Stefanidis D. Guidelines for the performance of minimally invasive splenectomy. Surg Endosc. 2021 Nov;35(11):5877-5888. doi: 10.1007/s00464-021-08741-2. Epub 2021 Sep 27. PMID: 34580773.

Supplemental Methodology Resources

Data Supplement

Methodology

Number of Source Documents
36
Literature Search Start Date
August 1, 2015
Literature Search End Date
October 1, 2020