Jara Hernandez Gutierrez, Aurelio Francisco Aranzana Gomez, Juan S Malo Corral, Beatriz Muñoz Jimenez. CH Toledo
Introduction: The aim of this video is to demonstrate the safety and efficacy of the laparoscopic approach in the treatment of large splenomegaly. Currently, this approach is recognized as the one of choice in benign splenic pathology, being controversial in the case of a massive splenomegaly or neoplastic pathology.
Methods and Procedures: Clinical case: A 38-year-old man studied by Internal Medicine for a hepatosplenomegaly of probable lymphoproliferative origin. Additional explorations of interest are provided.
Results: Full laparoscopic surgical approach in right lateral partial decubitus position: massive splenomegaly (>23 cm), splenuncle of 3-4 cm. 4 trocars – lateral transabdominal approach. Laparoscopic section of short vessels, dissection of the splenic hilum, vascular section with EndoGIA, splenectomy with full extraction in a bag through reduced laparotomy in the left flank for pathological study. Correct postoperative recovery, discharge on the 3rd day.
Conclusion(s): In experienced laparoscopic surgical teams and selected patients with massive splenomegaly, the laparoscopic approach is a valid and safe alternative.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94517
Program Number: V336
Presentation Session: Video Loop Day 3
Presentation Type: VideoLoop