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Updated: Jun 17, 2026
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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Single-port access: a feasible alternative to conventional laparoscopic splenectomy
Eduardo M Targarona1, Carmen Balague, Carmen Martinez
1Hospital de Sant Pau, Barcelona, Spain. 13882ets@comb.cat
Surgical Innovation
|December 25, 2009
Summary
Single-incision laparoscopic surgery (SILS) offers a minimally invasive approach for splenectomy. This technique allows for safe spleen removal with reduced trauma and improved cosmetic outcomes.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Gastroenterology
Background:
- Laparoscopic splenectomy is the standard for spleen removal.
- There is a growing trend towards reducing invasiveness in surgical procedures.
- Single-incision laparoscopic surgery (SILS) presents an alternative to conventional minimally invasive techniques.
Observation:
- This study describes the SILS technique for splenectomy in two patients.
- The procedure involved inserting trocars through umbilical or subcostal incisions.
- Specialized instruments facilitated visualization, dissection, and splenic hilum stapling.
Findings:
- SILS enabled safe visualization, dissection, and removal of the spleen.
- Both patients experienced uneventful postoperative courses with minimal pain and scarring.
- Patients were discharged on the second postoperative day.
Implications:
- SILS can be safely employed for splenectomy, minimizing parietal wall trauma.
- The technique facilitates operative visualization, hilum transection, and spleen extraction.
- Further research is needed to fully evaluate the clinical, esthetic, and functional benefits of SILS for splenectomy.
