Laparoscopic splenectomy for splenomegaly using a homemade retrieval BAG
Chia-Hung Su1, Tzu-Chieh Yin1, Che-Jen Huang1
1Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Summary
This study shows laparoscopic splenectomy is a safe and feasible option for enlarged spleens. A homemade retrieval bag proved effective and cost-efficient for spleen removal during surgery.
Area of Science:
- Surgical innovation
- Minimally invasive surgery
- Gastrointestinal surgery
Background:
- Laparoscopic splenectomy for enlarged spleens presents challenges.
- A cost-effective homemade retrieval bag can aid spleen retrieval.
- This technique aims to reduce medical expenses.
Purpose of the Study:
- To evaluate the feasibility and safety of laparoscopic splenectomy for moderate or massive splenomegaly.
- To assess the efficacy of a novel homemade retrieval bag in this procedure.
Main Methods:
- Fifty patients with splenomegaly (spleen major axis > 17 cm) underwent laparoscopic splenectomy.
- A homemade retrieval bag, constructed from a sterile infusion container, was utilized.
- Two transabdominal sutures were employed to suspend the retrieval bag for easier specimen extraction.
Main Results:
- Laparoscopic splenectomy was successful in 49 out of 50 patients.
- Mean operative time was 149 minutes, with median blood loss of 189 ml.
- 12 minor complications occurred, with no mortality; patients were discharged in a mean of 4.7 days.
Conclusions:
- Laparoscopic splenectomy is a feasible and safe approach for moderate to massive splenomegaly.
- The homemade retrieval bag is low-cost, easy to prepare, and effective.
- This technique offers a well-tolerated alternative to open splenectomy.
