Laparoscopic Splenectomy using a Single Incision Access

Abstract

Conventional laparoscopic splenectomy is now considered standard in splenectomy. The superior cosmetic result of single incision laparoscopic surgery (SILS) has seen an increasing interest in all areas of surgery, including splenectomy. Literature search was done, and 26 cases reported in literature were reviewed. Age of the patient, position, access technique, duration of surgery, intraoperative complications, postoperative hospital stay, cosmetic and patient/parents satisfaction were noted. Age range was from 7 months to 73 years with satisfactory outcome. Conclusion: Single incision splenectomy can be performed safely in patients of all ages. Immediate indicators show superior cosmetic outcome compared to conventional laparoscopic splenectomy, however, bigger series with long-term follow-up are required.