Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

In March 2025, a pediatric patient diagnosed with hereditary spherocytosis (HS) was admitted to the Department of Gastrointestinal Surgery at Xiangyang Central Hospital, affiliated with Hubei University of Arts and Sciences. A total robotic splenectomy was elected as the definitive surgical intervention. The procedure was successfully executed, with a total operative time of 145 min. This duration was strategically allocated, comprising 35 min for the initial system docking, followed by 110 min of efficient console time for splenic dissection and removal. A key highlight of the operation was its exceptional hemostatic control, with an estimated blood loss of merely 2 mL, underscoring the precision afforded by the robotic platform. Postoperative ultrasonographic evaluation of the abdomen, liver, and spleen revealed no significant abnormalities. This case suggests that robotic-assisted surgery using the Da-Vinci platform is a feasible approach for a pediatric patient with hereditary spherocytosis requiring spleen resection, providing valuable technical insights for similar procedures in children.