Laparoscopic partial splenectomy: a study on 13 cases

Abstract

Objective To evaluate the feasibility and clinical value of laparoscopic partial splenectomy to treat benign splenic diseases. Methods The clinical data of 13 patients who underwent laparoscopic partial splenectomy carried out by a single operating surgeon from June 2010 to January 2016 in our hospital were analyzed retrospectively. The enrolled patients included 6 with a splenic epidermoid cyst, 4 with a splenic pseudocyst and 3 with splenic hemangioma. The lesion diameters ranged from 5.1 to 12.4 cm, with an average of (7.2±2.3) cm. Results The operations were all successful. There was no conversion to laparotomy and there was no perioperative death. The operations included 4 upper pole splenic resection, 5 lower pole resection, 2 middle and upper pole resection and 2 middle and lower pole resection. The operative time ranged from 95 to 155 min, with an average of (119±17) min. The volume of intra-operative blood loss ranged from 100 to 350 ml, with an average of (187±78) ml. There was no postoperative bleeding, pancreatic fistula, digestive fistula, intra-abdominal infection, splenic vein thrombosis and other complications after the operation. The average postoperative hospitalization stay was (5±1) d. Conclusions In carefully selected patients, laparoscopic partial splenectomy carried out by experienced surgeons to treat benign splenic diseases is safe and feasible. Key words: Benign spleen diseases; Partial splenectomy; Laparoscopy