Performance of Minimally Invasive Splenectomy
Publication Date: September 27, 2021
Last Updated: March 14, 2022
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
Title
Performance of Minimally Invasive Splenectomy
Authoring Organization
Society of American Gastrointestinal and Endoscopic Surgeons
Publication Month/Year
September 27, 2021
Last Updated Month/Year
July 14, 2023
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.
Methodology
Number of Source Documents
36
Literature Search Start Date
August 1, 2015
Literature Search End Date
October 1, 2020