Imaging Pearls ❯ Spleen ❯ Imaging Techniques
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- MDCT of the Spleen: Technique
Routine scanning
- Single phase acquisition
- 60-70 second delay
Suspected splenic artery aneurysm or bleed
- Dual phase acquisition
- 25 and 60-70 second delay - Laparoscopic Splenectomy: Why?
- Decreased pain
- Lower morbidity and transfusion rate
- Less postoperative ileus
- Shorter hospital stay
- Faster return to work
- Improved cosmesis when compared to open splenectomy - Laparoscopic Splenectomy: Indications
- Autoimmune disorders (ITP)
- Hereditary hemolytic anemias
- Hematologic malignancies
- Other causes of splenic dysfunction - Laparoscopic Splenectomy: Contraindications
- Portal hypertension
- Severe coagulopathy