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Updated: Aug 7, 2026
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Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
Published on: March 27, 2026
Pediatric wandering spleen successfully treated by laparoscopic splenopexy
Oleg Kleiner1, Nitza Newman, Zahavi Cohen
1Department of Pediatric Surgery, Soroka Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel. olegkle@zahav.net.il
Summary
Wandering spleen, a rare condition, can cause severe pain. Laparoscopic splenopexy successfully repositioned and secured a wandering spleen in a young patient, preserving the organ.
Area of Science:
- Pediatric Surgery
- Abdominal Imaging
- Surgical Techniques
Background:
- Wandering spleen is a rare congenital anomaly.
- It carries a high risk of splenic torsion and infarction.
- Splenopexy is the preferred treatment to prevent complications.
Observation:
- A 12-year-old girl presented with intermittent abdominal pain.
- Abdominal sonography diagnosed wandering spleen.
- The patient underwent laparoscopic splenopexy.
Findings:
- The spleen was successfully repositioned in the left upper quadrant.
- A mesh patch and staples secured the spleen.
- Phrenocolic ligament plication provided additional support.
- Postoperative radionuclide scans confirmed normal spleen position at 3 days and 6 months.
Implications:
- Laparoscopic splenopexy is an effective organ-preserving treatment for wandering spleen.
- This technique offers a rapid and uneventful recovery.
- It provides a viable alternative to splenectomy in pediatric cases.