Laparoscopic Partial Splenectomy: 1 Case Report

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

Department of General Surgery, Qilu Hospital of Shandong University

INTRODUCTION Spleen palys an important role in immune defense, especially for children. Splenectomy may result in severe postoperative complications such as overwhelming postsplenectomy infection(OPSI). Laparoscopic partial splenectomy, as a minimally invasive technique that could preserve the immune function of spleen, has been gaining more interest in the treatment of benign leisions. Indications for laparoscopic partial splenic resection are nonparasitic cysts, benign tumors and traumatic ruptures.

METHODS Laparoscopic partial splenectomy was performed on a 53-year-old man suffering from splenic hemangioma which located in the upper pole of spleen. The mass was resected after severing the corresponding segmental vessels.

RESULTS The operation lasted for 3 hours with no conversion, and the intraoperative blood loss was 50ml. No severe complications such as uncontrolled bleeding, splenic vein thrombosis, or OPSI occurred. The patient was discharged on the 5th day postoperatively.

CONCLUSIONS Laparoscopic partial splenectomy is a minimally invasive technique that can preserve the immune function of spleen and improve postoperative quality of life. Better understanding of the splenic segmental anatomy and superb laparoscopic skills has made laparoscopic partial splenectomy a preferred treatment for benign lesions of spleen.

Session: Poster Presentation

Program Number: P656

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