6533b821fe1ef96bd127c3a2

RESEARCH PRODUCT

Laparoscopic near-total splenectomy. Report of a case

Giuseppe Di BuonoAntonino AgrusaLeonardo GulottaSalvatore BuscemiElisa MaienzaGiorgio Romano

subject

Laparoscopic surgerymedicine.medical_specialtymedicine.medical_treatmentSplenectomyCase ReportSpleenLaparoscopic surgeryLesion03 medical and health sciences0302 clinical medicineLaparoscopic splenectomymedicineTotal splenectomybusiness.industrySplenic abscessmedicine.diseaseSurgerymedicine.anatomical_structureNear-total splenectomy030220 oncology & carcinogenesisSplenectomy030211 gastroenterology & hepatologySurgerySpleen preservingmedicine.symptomSplenic diseasebusiness

description

Highlights • We describe a case report of near total splenectomy managed by laparoscopy for a large lesion of the upper pole of the spleen. • When total splenectomy is performed, an increased risk of potentially lethal infections arises. Asplenia and impaired splenic function are related to the increase of morbidity and mortality from infectious complications. • The overwhelming post splenectomy infections (OPSI) are mostly represented by fulminating sepsis, meningitis or pneumonia. • laparoscopic near total splenectomy is an innovative partial splenectomy technique consisting on preserving a residual spleen volume. • The comparison between other spleen preserving techniques shows that LNTS is associated with a lower rate of secondary surgery and postoperative recurrence of anaemia.

yearjournalcountryeditionlanguage
2020-10-01International Journal of Surgery Case Reports
https://doi.org/10.1016/j.ijscr.2020.10.022