Report of laparoscopic middle splenectomy

doi:10.3877/cma.j.issn.1674-6899.2021.02.012

Abstract

Abstract:

Objective

The operation plan and therapeutic effect of laparoscopic middle splenectomy for 1 splenic lymphangioma were discussed.

Methods

A young female patient with middle splenic lymphoma was selected, reviewed the literature and discussed in many disciplines to formulate individualized operation plan and treatment strategy for the patients.

Results

The operation operated smoothly, postoperative recovery smoothly without complications, and nearly half of the spleen tissue was retained. During the follow-up, the platelet increased gradually within 1 week after operation, and the symptomatic treatment returned to normal. After 1 year of follow-up, platelets remained in normal range.

Conclusions

For benign lesions of the middle spleen, laparoscopic mid splen ectomy not only has minimally invasive advantages, but also retains more spleen for patients.

Key words: Middle splenectomy, Spleen function, Laparoscope, Case report

Xiaosan Wu, Tao Xia, Yiping Mou, Yucheng Zhou. Report of laparoscopic middle splenectomy[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(02): 119-121.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2021.02.012

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2021/V14/I02/119

Figures/Tables 1

References 13

1	Uranues S, Grossman D, Ludwig L, et al. Laparoscopic partial splenectomy[J]. Surg Endosc, 2007，21(1): 57-60.
2	Hery G, Becmeur F, Mefat L, et al. Laparoscopic partial splenectomy: indications and results of a multicenter retrospective study[J]. Surg Endosc, 2008，22(1): 45-49.
3	Liu G, Fan Y. Feasibility and safety of laparoscopic partial splenectomy: a systematic review[J]. World J Surg, 2019，43(6): 1505-1518.
4	姜洪池，周孟华. 脾脏外科临床研究进展与展望[J]. 中国实用外科杂志，2020，40(1): 53-57.
5	Jiang H, Liu L, Wang J, et al. Can the spleen be divided into two functional parts[J]. J Clin Gastroenterol, 2014，48(3): 261-263.
6	金巍巍，张人超，牟一平，等. 腹腔镜胰头十二指肠切除术手术流程优化[J/CD]. 中华肝脏外科手术学电子杂志，2014，3(6): 338-340.
7	曹峻，邰沁文，谷昊，等. 二级脾蒂离断法在腹腔镜脾切除术中的临床应用[J/CD]. 中华腔镜外科杂志(电子版), 2014，7(3): 189-191.
8	Kimmig LM, Palevsky HI. Review of the association between splenectomy and chronic thromboembolic pulmonary hypertension[J]. Ann Am Thorac Soc, 2016，13(6): 945-954.
9	Ruiz-Tovar J, Priego P. Portal vein thrombosis after splenic and pancreatic surgery[J]. Adv Exp Med Biol, 2017，906: 241-251.DOI: 10.1007/5584_2016_119
10	De′angelis N, Abdalla S, Lizzi V, et al. Incidence and predictors of portal and splenic vein thrombosis after pure laparoscopic splenectomy[J]. Surgery, 2017，162(6): 1219-1230.
11	Rottenstreich A, Kleinstern G, Spectre G, et al. Thromboembolic events following splenectomy: risk factors, prevention, management and outcomes[J]. World J Surg, 2018，42(3): 675-681.
12	Lee SH, Lee JS, Yoon YC, et al. Role of laparoscopic partial splenectomy for tumorous lesions of the spleen[J]. J Gastrointest Surg, 2015，19(6): 1052-1058.
13	Petroianu A, Resende V, Da SR. Late follow-up of patients submitted to subtotal splenectomy[J]. Int J Surg, 2006，4(3): 172-178.

[1]	Yu Wang, Jie Sheng, Lingge Jin, Ziwen Jiang, Dan Lu. Effects of different hemostatic methods on ovarian reservation after laparoscopic ovary endometrioma cystectomy [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2021, 17(04): 420-424.
[2]	Fengxin Wu, Yingguang Wu, Jianxiong Yu, Sheng Wang. Laparoscopic assisted pylorus preserving gastrectomy in the treatment of early middle gastric cancer [J]. Chinese Archives of General Surgery(Electronic Edition), 2021, 15(05): 326-330.
[3]	Li Cao, Jianwei Li. Total laparoscopic anatomic right hemihepatectomy via anterior approach [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(04): 375-375.
[4]	Xiaoping Chen, Wanguang Zhang. Development and Trends of laparoscopic liver resection for Hepatocellular Carcinoma in China over 20 years [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(04): 355-358.
[5]	Houfeng Huang, Ziwen Liu, Xinrong Fan, Shi Rong, Zhigang Ji. Laparoscopic transabdominal preperitoneal approach in the treatment of inguinal undescended testis combined with indirect inguinal hernia in adults [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(04): 337-341.
[6]	Lin Li, Linlin Zhang, Weilin Wang. Comparison of the effects of laryngeal mask and tracheal intubation anesthesia in inguinal hernia surgery [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(04): 369-371.
[7]	Shizhou Jiang, Ju Wang. Existing problems and strategies of visual field exposure in laparoscopic surgery [J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(04): 254-256.
[8]	Fengjie Wang, Huanwei Chen, Ying Liu, Qiucheng Lei, Yanwen Ning. Surgical approach and safety of laparoscopic distal pancreatectomy [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2021, 10(05): 506-509.
[9]	Guolin Li, Xiu Wang, Guichan Chen, Yihong Qiu. Standardized perioperative managements for laparoscopic pancreaticoduodenectomy [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2021, 10(05): 510-513.
[10]	Tao Li, Tuxun Tuerhongjiang·, Apaer Shadike·, Lei Bai, Jun Cao, Yibiao He, Zhipeng Wang, Jinming Zhao. Total laparoscopic living donor right hepatectomy: report of one case and literature review [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2021, 10(05): 514-518.
[11]	Weinan Li, Jingdong Li. Technical essentials and sticking points of laparoscopic radical resection of hilar cholangiocarcinoma [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2021, 10(04): 348-351.
[12]	Liuxin Cai, Wenbin Jiang. Laparoscopic hepatectomy with Glissonean pedicle transection [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2021, 10(04): 357-359.
[13]	Yuqiang Wu, Zaiping Zhou, Zemin Hu, Qiang Sun. Laparoscopic left lateral lobectomy combined with choledocholithotomy in treatment of intrahepatic and extrahepatic bile duct stones [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2021, 10(04): 386-389.
[14]	Shou Luo, Hao Su, Zheng Xu, Jianwei Liang, Qian Liu, Zhixiang Zhou, Xishan Wang, Haitao Zhou. Retrospective analysis of short-term curative effect of total laparoscopic and open loop ileostomy reversal [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(04): 357-361.
[15]	Shunli Yan, Huimin Sun, Zhaoxu Zheng, Zheng Liu, Haipeng Chen, Xu Guan, Meng Zhuang, Haiyang Huang, Xishan Wang, Wei Pei. Intestinal obstruction after total laparoscopic radical resection of right colon cancer: a case report and literature review [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(04): 427-431.

Please choose a citation manager

Content to export