Robot-assisted Partial Splenectomy.

Area of Science:

• Surgical Oncology
• Minimally Invasive Surgery
• Gastroenterology

Background:

• Partial splenectomy (PS) is preferred over total splenectomy for benign splenic lesions to maintain immune function.
• Robot-assisted surgery enhances visualization and precision in complex procedures like PS.
• Sclerosing angiomatoid nodular transformation (SANT) is a rare benign splenic tumor.

Purpose of the Study:

• To present a case of robot-assisted partial splenectomy (PS) for a suspected case of sclerosing angiomatoid nodular transformation (SANT) of the spleen.
• To evaluate the technical feasibility and benefits of robot-assisted PS in preserving splenic function.
• To highlight the advantages of robotic surgery in managing splenic lesions.

Main Methods:

• A 38-year-old woman with a splenic mass (suspected SANT) underwent robot-assisted PS.
• Intraoperative ultrasonography was used to define resection margins.
• The procedure involved meticulous splenic hilum dissection, selective vascular pedicle ligation, and advanced energy devices for parenchymal transection.

Main Results:

• Robot-assisted PS was technically feasible for managing the splenic mass.
• The procedure resulted in minimal blood loss and preservation of splenic function.
• The patient experienced an uncomplicated recovery and was discharged on postoperative day 3.

Conclusions:

• Robot-assisted PS is a viable and advantageous option for treating benign splenic lesions such as SANT.
• This approach effectively preserves spleen immunological function while minimizing surgical morbidity.
• Robotic technology enhances precision and control during complex partial splenectomy procedures.