Single incision laparoscopic splenectomy, technical aspects and feasibility considerations

Francesco Cabras; Lazzara Fabrizio; Umberto Bracale; Jacopo Andreuccetti; Giusto Pignata

doi:10.5114/wiitm.2014.44137

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abstract:

Case report

Single incision laparoscopic splenectomy, technical aspects and feasibility considerations

Francesco Cabras

,

Lazzara Fabrizio

,

Umberto Bracale

,

Jacopo Andreuccetti

,

Giusto Pignata

Videosurgery Miniinv 2014; 9 (4): 632–633

DOI: https://doi.org/10.5114/wiitm.2014.44137

Online publish date: 2014/07/19

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Minimally invasive techniques have been introduced to reduce morbidity related to standard laparoscopic procedures. One such approach is laparoendoscopic single-site surgery. The aim of the study was to present our initial clinical experience of using this technique for elective splenectomy. We carried out single access laparoscopic splenectomy (SALS) for an 8 cm cystic lesion of the spleen, involving the hilum, on a 38-year-old woman. The procedure was performed with a single-port device (4-channel) via a 2.5-cm umbilical incision. A flexible 5-mm optic and straight laparoscopic instruments were used. The operative time was 75 min. There was no blood loss. No complications were observed. The postoperative period was uneventful. Although substantial development of the instruments and skills is needed, this SALS technique appears to be feasible and safe. Nevertheless, further experience and observations are necessary.

keywords:

Single incision laparoscopic splenectomy, technical aspects and feasibility considerations

Francesco Cabras , Lazzara Fabrizio , Umberto Bracale , Jacopo Andreuccetti , Giusto Pignata

laparoscopy, laparoscopic splenectomy, single incision laparoscopic surgery, spleen, minimally invasive splenic surgery

Francesco Cabras

,

Lazzara Fabrizio

,

Umberto Bracale

,

Jacopo Andreuccetti

,

Giusto Pignata