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Related Experiment Video

Updated: Jun 20, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Laparoscopic surgery for splenic artery aneurysm.

Toru Obuchi1, Akira Sasaki, Jun Nakajima

  • 1Department of Surgery, Iwate Medical University School of Medicine, Japan. tobuchi@iwate-med.ac.jp

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|August 21, 2009
PubMed
Summary

Laparoscopic splenectomy is a safe option for splenic artery aneurysms (SAA) when interventional radiology is not feasible. This minimally invasive approach offers successful treatment with low complication rates.

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Area of Science:

  • Surgical Gastroenterology
  • Vascular Surgery
  • Minimally Invasive Surgery

Background:

  • Splenic artery aneurysms (SAA) pose a rupture risk.
  • Interventional radiology is a common treatment, but not always feasible.
  • Laparoscopic splenectomy offers an alternative for complex SAA cases.

Purpose of the Study:

  • To describe 6 cases of laparoscopic splenectomy for multiple, fusiform splenic artery aneurysms (SAA).
  • To evaluate the safety and efficacy of laparoscopic splenectomy for SAA.
  • To present a literature review on the topic.

Main Methods:

  • Six patients with SAA underwent laparoscopic surgery between November 1999 and May 2008.
  • Four patients had splenectomy alone; two had splenectomy with distal pancreatectomy.

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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

Related Experiment Videos

Last Updated: Jun 20, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
02:09

Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions

Published on: December 20, 2024

  • Mean aneurysm size was 3.1 cm.

    • Main Results:

    • All 6 laparoscopic splenectomies were successful.
    • Mean operative time was 186.7 minutes, with a mean blood loss of 187.8 mL.
    • One case of portal system thrombosis occurred; no hemorrhage or pancreatic leakage.
    • No recurrence observed during a mean follow-up of 116 months.

    Conclusions:

    • Laparoscopic splenectomy is a safe therapeutic option for SAA.
    • It is particularly suitable for patients at risk of rupture who are not candidates for interventional radiology.
    • This approach demonstrates low morbidity and no recurrence in the studied cases.