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Updated: Jun 12, 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 (SPA) splenectomy
Steven J Rottman1, Erica R Podolsky, Eugene Kim
1Drexel University College of Medicine, Department of Surgery, Philadelphia, Pennsylvania, USA.
Summary
Single-port access (SPA) splenectomy offers a minimally invasive alternative to traditional laparoscopy. This technique successfully removed the spleen through a single umbilical incision with good long-term outcomes.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Laparoscopic splenectomy is the standard for spleen removal, reducing morbidity and hospital stay.
- Single-port access (SPA) surgery emerged as a less invasive alternative to multiport laparoscopy.
- This study investigates the application of SPA technique for splenectomy through a single umbilical incision.
Observation:
- SPA splenectomy was performed in a 36-year-old male for staging purposes.
- Abdominal entry, splenic dissection, and organ removal were achieved via a single umbilical incision.
- The incision was extended for specimen retrieval for pathological examination.
Findings:
- Successful splenic mobilization and control of short gastric vessels were accomplished using the SPA technique.
- En bloc organ removal was feasible through the single umbilical incision.
- Eighteen-month follow-up showed a well-healed incision without hernia formation.
Implications:
- SPA splenectomy is a viable alternative to multiport laparoscopic splenectomy.
- The technique utilizes standard instruments, maintaining procedural familiarity and cost-effectiveness.
- SPA surgery may offer enhanced surgeon ergonomics and patient benefits like faster recovery and reduced adhesion formation.
