The role of hand-assisted laparoscopic splenectomy for mega spleens in the da Vinci era
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We read with great interest the article by Cavaliere et al., entitled “Robotic vs laparoscopic splenectomy for splenomegaly: A retrospective comparative cohort study” published on International Journal of Surgery .
Laparoscopic splenectomy is nowadays considered the gold standard for normal to moderately enlarged spleens. However, in case of more challenging conditions such as mega spleens or cirrhotic patients, the laparoscopic approach is still associated with high risk of intra-and post-operative bleeding, high conversion rate, and high morbidity.
In this setting, the authors compared the robot-assisted laparoscopic surgery (RAS) with the direct manual laparoscopy (DML), reporting possible advantages with the use of the da Vinci system for splenectomy in case of splenomegaly. In particular, they reported improved outcomes with RAS in terms of reduced intraoperative bleeding and less conversions to open surgery, although if they also admitted the limitations of the...
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Conflict of interest
Gregorio Di Franco, Desirée Gianardi, Matteo Bianchini, Matteo Palmeri and Luca Morelli declare that they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
For this type of article, informed consent is not required.
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