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Updated: Jun 10, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

Wandering spleen in children: multicenter retrospective study.

Caroline Fiquet-Francois1, Mohamed Belouadah, Hugues Ludot

  • 1Pediatric Surgery Department, American Memorial Hospital, Centre Hospitalier Universitaire, 51092 Reims France. carolinefiquet@me.com

Journal of Pediatric Surgery
|July 20, 2010
PubMed
Summary

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Wandering spleen in children is rare and hard to diagnose, often leading to splenic ischemia. Early diagnosis and surgical intervention, preferably laparoscopy, are crucial for spleen preservation and better outcomes.

Area of Science:

  • Pediatric Surgery
  • Abdominal Imaging
  • Surgical Outcomes

Background:

  • Wandering spleen is a rare pediatric condition.
  • Delayed diagnosis can result in splenic ischemia.
  • Clinical presentation is often non-specific, with diffuse abdominal pain being common.

Purpose of the Study:

  • To investigate the incidence, diagnosis, and management of wandering spleen in children.
  • To evaluate surgical outcomes and complications associated with different treatment modalities.
  • To emphasize the importance of early diagnosis for spleen preservation.

Main Methods:

  • Multicenter retrospective study involving French surgical teams.
  • Data collected via a questionnaire on epidemiology, semiology, and surgical diagnosis.

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Last Updated: Jun 10, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

  • Analysis of 14 pediatric cases diagnosed between 1984 and 2009.

    • Main Results:

    • 86% of cases presented to the emergency department, 93% with diffuse abdominal pain.
    • Clinical diagnosis alone was insufficient; presurgical imaging was essential.
    • Complications occurred in 60% of cases, with postsplenopexy splenic ischemia being noted. Laparoscopic gastropexy offered advantages by avoiding splenic manipulation.

    Conclusions:

    • Early diagnosis and prompt surgical intervention are vital for spleen preservation in pediatric wandering spleen.
    • Laparoscopic gastropexy is advantageous, especially in cases without prior abdominal surgery, as it avoids splenic manipulation and restores normal anatomy.
    • While splenectomy is sometimes necessary due to ischemia, spleen-preserving techniques should be prioritized.