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Laparoscopic Partial Splenectomy Assisted by Fluorescence in a 13-Year-Old Girl
Isabel Bada-Bosch1, David Peláez Mata1, Manuel de la Torre1
1Department of Pediatric Surgery, Hospital General Universitario Gregorio Maranon, Madrid, Spain.
European Journal of Pediatric Surgery Reports
|October 26, 2020
Summary
Laparoscopic partial splenectomy using indocyanine green (ICG) fluorescence is effective for benign splenic lesions. This technique aids in precise dissection and ensures adequate spleen remnant perfusion, preserving immune function.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Pediatric Surgery
Background:
- Partial splenectomy is preferred for benign splenic lesions to preserve immune function.
- Dissecting splenic hilum and assessing remnant perfusion can be challenging, particularly for central lesions.
Observation:
- A 13-year-old girl presented with a symptomatic 6 cm splenic cyst near the hilum.
- Laparoscopic partial splenectomy was performed using ICG fluorescence to guide dissection and assess perfusion.
Findings:
- ICG fluorescence facilitated safe hilar dissection and identified the splenic transection plane.
- Post-clamping ICG wash-out confirmed remnant vascularity, and follow-up showed a well-perfused spleen remnant without recurrence.
Implications:
- Laparoscopic partial splenectomy with ICG fluorescence is a feasible and safe approach for complex splenic lesions.
- This technique enhances visualization and perfusion assessment, crucial for preserving splenic function in challenging cases.
