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Emergency laparoscopic partial splenectomy for ruptured spleen: a case report.
Yun-Qiang Cai1, Chun-Lin Li1, Hua Zhang1
1Yun-Qiang Cai, Chun-Lin Li, Hua Zhang, Xin Wang, Bing Peng, Department of Hepatopancreatobiliary Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
World Journal of Gastroenterology
|December 18, 2014
Summary
Emergency laparoscopic partial splenectomy successfully treated a grade III spleen injury in a teenager when conservative management failed. This spleen-preserving approach offers a viable alternative to splenectomy for severe splenic trauma.
Area of Science:
- Trauma Surgery
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Splenic rupture is a common injury from blunt abdominal trauma.
- Splenectomy is standard for severe cases, but spleen-preserving surgery is preferred due to immunologic function.
- Laparoscopic partial splenectomy presents technical challenges in emergency settings.
Observation:
- A 15-year-old male with a grade III spleen injury (American Association for the Surgery of Trauma scale) failed conservative management due to falling hemoglobin.
- Laparoscopic exploration revealed two distinct ruptures at the spleen's upper pole.
- An emergency laparoscopic partial splenectomy was performed.
Findings:
- The procedure was technically successful, taking approximately 150 minutes with an estimated blood loss of 200 mL.
- The patient experienced an uneventful postoperative recovery.
- Discharge occurred on the 7th postoperative day.
Implications:
- Emergency laparoscopic partial splenectomy is a feasible and effective spleen-preserving option for severe splenic injuries.
- This technique can be successfully applied even in complex rupture scenarios.
- Minimally invasive spleen preservation may improve patient outcomes and reduce long-term complications associated with splenectomy.
