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Laparoscopic partial splenectomy for splenic lymphangioma: a case report
Kotaro Kimura1, Yo Kurashima2, Kimitaka Tanaka1
1Department of Gastroenterological Surgery II, Hokkaido University Faculty School of Medicine, North 15 West 7, Kita-ku, Sapporo, Hokkaido, 0608638, Japan.
Surgical Case Reports
|June 20, 2020
Summary
Laparoscopic partial splenectomy is a safe and effective treatment for rare splenic lymphangioma in young women. This approach preserves spleen function and shows no recurrence one year post-surgery.
Area of Science:
- Surgical Oncology
- Vascular Surgery
- Pediatric Surgery
Background:
- Splenic lymphangioma is a rare benign lymphatic malformation.
- Typically found in the neck, axilla, orbit, or mediastinum.
- Isolated splenic lymphangioma is exceptionally rare in young women, with controversial treatment options.
Purpose of the Study:
- To report a case of laparoscopic partial splenectomy for isolated splenic lymphangioma in a young woman.
- To evaluate the safety and efficacy of this minimally invasive approach.
Main Methods:
- A 6-cm splenic mass was identified in an 18-year-old woman.
- Laparoscopic partial splenectomy was performed using a co-axial approach with four ports.
- The tumor, fed by splenic vessels, was resected while preserving spleen parenchyma.
Main Results:
- The patient experienced no postoperative complications and was discharged on day 8.
- Pathological examination confirmed splenic lymphangioma.
- One-year follow-up showed no recurrence and normal spleen function on CT scan.
Conclusions:
- Laparoscopic partial splenectomy is a safe and effective treatment for isolated splenic lymphangioma.
- This minimally invasive technique is a valuable option for benign splenic tumors in young women.
- Spleen preservation is achievable with this surgical approach.
