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Updated: Jun 10, 2026
Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
Published on: March 27, 2026
Technical report on the initial cases of single-incision laparoscopic combined cholecystectomy and splenectomy in
Yuk Him Tam1, Kim Hung Lee, Kin Wai Chan
1Division of Paediatric Surgery and Paediatric Urology, Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, China. pyhtam@hotmail.com
Aim:
The authors report a technique to perform single-incision laparoscopic combined cholecystectomy and splenectomy in 3 children using conventional instruments.
Methods:
Three ports, including 5-mm and 3-mm ports, were placed through an infraumbilical incision for the procedure. Splenectomy was completed in most parts by crossing the 2 straight instruments.
Results:
The 3 patients, aged 11 to 13 years, with body weight 29 kg to 32 kg, underwent the procedure. In the first patient, 2 additional extraumbilical 5-mm ports were required to complete the splenectomy. After modification of the technique, combined cholecystectomy and splenectomy by SILS were successfully performed in the other 2 patients without complications, and postoperative courses were uneventful.
Conclusions:
Combined cholecystectomy and splenectomy in children by SILS is technically feasible using conventional instruments. Further studies are required to investigate its safety, benefits over conventional laparoscopic surgery, and refinements in the technique.