Single-Port Laparoscopic Splenectomy as an Alternative for Conventional Laparoscopic Splenectomy

Abstract

Introduction: Laparoscopic splenectomy is developing as the gold standard for the management of splenic disorder. The concept of minimal-invasive surgical techniques has progressed since the early 1990s from the standard multiport laparoscopy to the natural orifice transluminal endoscopic surgery and recently, to single-port laparoscopic surgery. Aim: To assess the feasibility and safety of transumbilical single port laparoscopic splenectomy. Patients and methods: Between September 2013 and August 2016, transumbilical single-port splenectomy was performed on 13 patients via a 2.5 cm curved incision at the lower umbilicus edge, and special single incision laparoscopic surgery (SILS™) port (Covidien, Mansfield, MA) was introduced through which splenectomy was done. Results: A total of fifteen patients underwent minimally invasive splenectomy. There were 3 conversions to multiport laparoscopic splenectomy. The operative time was (123.07±16.7). Conclusion: Single port laparoscopic splenectomy is safe and feasible and could be a logical alternative to classical laparoscopic splenectomy.