Transumbilical Single-incision Laparoscopic Splenectomy: 2 Cases Report

Hu Sanyuan, MD, PhD, Zhang Guangyong, MD, PhD, Yu Wenbin, MD, PhD, Wang Lei, MD, PhD

Department of General Surgery, Qilu Hospital of Shandong University

INTRODUCTION Traditional laparoscopic splenectomy has been widely performed for the treatment of various spleen diseases, especially some hematologic diseases with normal sized or slightly enlarged spleens. Recently, transumbilical single-incision laparoscopic splenectomy has become a novel alternative to the traditional multi-incision approach owing to less trauma, faster recovery and better cosmetic results.

METHODS Transumbilical single-port laparoscopic splenectomy was performed on 2 patients. One was a 46-year-old man suffering from idiopathic thrombocytopenic purpura, and the other was a 25-year-old women suffering from hereditary spherocytosis. Perisplenic ligaments were firstly dissected with harmonic scalpel, and then the hilum was controlled either by hem-o-lok after dissecting the splenic artery and vein or directly by a stapler. The spleen was placed into a bag and taken out after morcellated by forceps.

RESULTS The two operations were conducted successfully with no conversion or severe intraoperative complications. The operation duration was 225 min and 195min respectively; The intraoperative blood loss was 100ml and 50ml respectively. No visible scar was detected 2 months postoperatively.

CONCLUSIONS Transumbilical single-incision laparoscopic splenectomy is a safe and feasible minimally invasive approach with better cosmetic results.

Session: Poster Presentation

Program Number: P657

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