laparoscopy

Technical Problems of Splenectomy in Hematological Diseases

SURGERY IN ONCOHEMATOLOGY , , ,

SR Karagyulyan, KI Danishyan, SA Shutov, MA Silaev

Hematology Research Center under the Ministry of Health of the Russian Federation, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167

For correspondence: Karen Ismailovich Danishyan, PhD, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167; e-mail: ntanisian@gmail.ru

For citation: Karagyulyan SR, Danishyan KI, Shutov SA, Silaev MA. Technical Problems of Splenectomy in Hematological Diseases. Clinical oncohematology. 2017;10(1):101–7 (In Russ).

DOI: 10.21320/2500-2139-2017-10-1-101-107

ABSTRACT

The article focuses on the technical aspects of splenectomy (SE) in 1628 patients using two main techniques: laparoscopy (885 SEs) and laparotomy (743 SEs), with a description of various factors that influence the invasiveness and the success of the surgery. The fact is that in addition to the shape and size of an enlarged spleen, the technical complexity of the SE, especially in laparoscopic access depends on the following factors: perisplenitis, close presentation and fusion of the tail of the pancreas to the spleen, tumor infiltration of splenic vascular pedicle, branchy type of its structure, visceral obesity, compression of the splenic pedicle with enlarged and united lymph nodes. In most cases (60 %), there is a combination of several risk factors, thus making the surgery even more difficult. The indications for splenectomy, as well as its influence on the course of the main hematological disease are not considered in this paper.

Keywords: hematological disorders, splenectomy, laparoscopy, laparotomy.

Received: August 11, 2016

Accepted: November 14, 2016

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REFERENCES

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  11. Карагюлян С.Р., Гржимоловский А.В., Данишян К.И. и др. Хирургические доступы к селезенке. Анналы хирургической гепатологии. 2006;11(2):92–9.
    [Karagyulyan SR, Grzhimolovskii AV, Danishyan KI, et al. Surgical access to spleen. Annaly khirurgicheskoi gepatologii. 2006;11(2):92–9. (In Russ)]

 

Video-Assisted Laparoscopic Surgeries in Lymphomas Diagnostics

LYMPHOID TUMORS , , ,

I.G. Komarov1,2, S.S. Stepanenkova3, M.I. Komarov2

1 Surgical Unit No. 2, N.N. Blokhin Russian Cancer Research Center, 24 Kashirskoye sh., Moscow, Russian Federation, 115478

2 Subdepartment of Oncology, Russian Medical Academy of Postgraduate Education, 24 Kashirskoye sh., Moscow, Russian Federation, 115478

3 Subdepartment of Oncology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, 24 Kashirskoye sh., Moscow, Russian Federation, 115478

For correspondence: I.G. Komarov, DSci, Professor, N.N. Blokhin Russian Cancer Research Center, 24 Kashirskoye sh., Moscow, Russian Federation, 115478; Tel: +7(499)324-12-70; e-mail: komarovig@mail.ru

For citation: Komarov I.G., Stepanenkova S.S., Komarov M.I. Video-Assisted Laparoscopic Surgeries in Lymphomas Diagnostics. Klin. Onkogematol. 2014; 7(4): 540–550 (In Russ.).

ABSTRACT

The article describes application of modern minimally invasive surgical technologies in oncohematology. The history of the video-assisted surgery is presented. Modern opportunities of the video-assisted laparoscopic surgery in diagnosing of malignant lymphoproliferative disorders were described. The main tools and the equipment, stages of intervention and technique used in video-assisted surgery are briefly described. Indications and contraindications for laparoscopic interventions are presented.

Keywords: lymphoma, diagnosis, video-assisted surgery, laparoscopy.

Accepted: September 17, 2014

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