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Laparoscopic middle segment splenectomy for central splenic hemangioma: A case report
Yuntao Bing1, Abuduhaibaier Sadula1, Dianrong Xiu1
1Department of General Surgery, Peking University Third Hospital, No. 49 Huayuan North Road, Beijing, China.
International Journal of Surgery Case Reports
|December 5, 2020
Summary
Laparoscopic partial splenectomy (LPS) can be a viable option for large splenic hemangiomas, even centrally located ones. This spleen-preserving surgery offers a lower complication rate than total splenectomy.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Abdominal Surgery
Background:
- Laparoscopic surgery is crucial for splenic pathologies.
- Splenic hemangioma is the most common benign splenic tumor.
- Laparoscopic partial splenectomy (LPS) offers fewer complications than laparoscopic total splenectomy (LTS).
Observation:
- A case of a 23-year-old woman with a large splenic hemangioma treated with LPS.
- A middle segment splenectomy was performed, preserving the upper and lower spleen poles.
- Intraoperative frozen section confirmed no malignancy.
Findings:
- Central splenic hemangiomas may not be absolute contraindications for LPS.
- Successful LPS was achieved by ligating the middle splenic artery branch.
- Preservation of upper and lower spleen segments ensured adequate residual spleen function.
Implications:
- LPS can be considered for select central splenic tumors.
- Careful patient selection and surgical planning are key for successful LPS.
- Spleen-preserving surgery like LPS can improve patient outcomes by reducing complications.
