Zusammenfassung
Die laparoskopische Splenektomie stellt den Goldstandard bei der elektiven Behandlung benigner und maligner Krankheitsbilder der Milz dar. Bei der Indikationsstellung zum laparoskopischen Vorgehen sind insbesondere die Faktoren Milzgröße, Alter, Geschlecht und maligne Grunderkrankung zu berücksichtigen, für die eine erhöhte Rate intraoperativer Komplikationen und eine erhöhte Notwendigkeit zur Konversion nachgewiesen wurden. Bei elektiver Indikation sollte eine präoperative Impfung erfolgen. Alle Patienten sind postoperativ mit einem Aspleniepass auszustatten und die notwendigen Impfungen müssen nachgeholt werden.
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Hoffmann, M. (2017). Laparoskopische Eingriffe an der Milz. In: Keck, T., Germer, C. (eds) Minimalinvasive Viszeralchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53204-1_16
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DOI: https://doi.org/10.1007/978-3-662-53204-1_16
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