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Related Experiment Video

Updated: Jun 12, 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

Single port access (SPA) splenectomy.

Steven J Rottman1, Erica R Podolsky, Eugene Kim

  • 1Drexel University College of Medicine, Department of Surgery, Philadelphia, Pennsylvania, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|June 10, 2010
PubMed
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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.

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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

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Last Updated: Jun 12, 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

  • 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.