Splenectomy is one of the surgical procedures performed to remove the spleen either partially or completely. Spleen is present in the upper left area of the abdominal cavity and it is filled with blood. The physiological function of the spleen is to maintain the storage of the red blood cells and it also contains special white blood cells. These specialized white blood cells are called macrophages that fight with the diseases. These blood cells also filter the blood. Spleen is considered to be an important part of the body’s immune system. so, it removes the damaged particles of the blood as a part of the immune system. Spleen can affect the white blood count, red blood cell count and platelet count.
Need for removal of Spleen
Spleen has to be removed in the following conditions, usually.
- Idiopathic Thrombocytopenia Purpura or ITP
- Hemolytic anemia
- Shape of cells of red blood, because of heredity
- Sickle cell disease
- Treatment of the tumor
- Enlarged spleen
- When blood supply is blocked to the spleen
- Abnormal artery expansion
Diagnosis of the condition is usually found from various tests.
- CBC or Complete Blood Count
- Bone barrow examination
- Ultrasound examination, MRI, CT or nuclear scan
Selection of the Candidate
The important factor to find the eligibility of the candidate towards the need of the laparoscopic spleenectomy is the size of the speed. When the spleen has grown to extremely large size, then it would be difficult to perform the spleen through the laparoscope surgical process. In some of the cases the arteries are plugged to the spleen, prior to the surgery, with the help of the special X-ray technology. It makes the spleen to shrink and then the laparoscope technique is adopted. A qualified and experienced surgeon has to find the need for the removal of the spleen for the candidate.
Spleen can be removed and this process is called Spleenectomy. The surgical procedure is usually performed through laparoscope. There are many advantages of this minimally invasive surgical technique.
Laparoscopic for Splenectomy
General anesthesia is needed to be given to the candidate, before the surgery is started and the patient will be asleep. A hollow tube, which is a cannula will be placed inside the abdomen to inflate abdomen using carbon dioxide gas. It makes certain space to enable the process of the operation. There are multiple cannlas made. Through one of the cannulas, a laparoscope is inserted to pass through the abdomen. The video camera provides internal structural view of the spleen, which is internal to the body. Other special instruments are also placed through the other cannulas to help removing the spleen. The spleen is successfully removed from the body. Then the surgeon looks for any extra spleens present nearby, because some of the patients have extra small spleens developed in the body. Once the spleen is cut, it will then be kept in a bag specially made for it. The removed spleen is taken through largest incision made on the abdomen, after it is broken into smaller pieces.
- Shorter stay in hospital
- Less pain after the operation
- Faster return to the regular activities
- Quicker return to normal and solid food diet
- Good cosmetic results
Cost of Laparoscopic for Splenectomy
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