Minimally Invasive Partial Spleen Resection Preserving the Lower Pole in Children: A Technical Report on Feasibility and Safety
Minimally Invasive Partial Spleen Resection Preserving the Lower Pole in Children: A Technical Report on Feasibility and Safety
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DOI：
10.1089/lap.2021.0232
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发表时间：
2021-11-09
影响因子：
1.3
通讯作者：
Beder，Igor
中科院分区：
文献类型：
--
作者：
Babala，Jozef;Prato，Alessio Pini;Beder，Igor
背景：腹腔镜部分脾切除术是一种切除部分脾脏的手术选择，以确保保留脾脏的生理功能。我们的目的是评估这一程序的有效性和可行性，同时保留从左胃网膜动脉的血液供应，在children.Materials and Methods：机构审查委员会批准后，这项回顾性研究进行了谁，2015年1月至2019年12月，接受腹腔镜部分脾切除术与左胃网膜血管的血液供应的保留。在这篇文章中，我们描述了患者的手术适应证，手术技术，手术时间，并发症和随访outcomes.Results：11例患者（平均年龄：12.3 ± 3.4岁）进行了腹腔镜部分脾切除术。手术适应症包括非寄生虫性囊肿（n= 8）、假性囊肿（n= 2）和错构瘤（n= 1）。良性肿块平均直径为60 ± 22 mm。平均手术时间为193.2 ± 55.1分钟。保留下极的平均尺寸为31.1% ± 3.8%。无中转开腹脾切除术或任何严重并发症。平均术后住院时间为9 ± 0.7天。没有血栓形成的脾静脉和门静脉，在随访期间，没有脾残余infarction occurred.Conclusions：腹腔镜部分脾切除术与保留血液供应来自胃网膜左血管似乎是安全的儿童。然而，需要更大规模的研究来证实我们的结果。
Background:Laparoscopic partial splenectomy is a surgical option for removing part of the spleen with a pathological mass in a way that ensures preservation of the spleen's physiological functions. We aimed to evaluate the efficacy and feasibility of this procedure, performed while preserving the blood supply from the left gastroepiploic artery, in children.Materials and Methods:Following institutional review board approval, this retrospective study was conducted on patients who, between January 2015 and December 2019, underwent laparoscopic partial splenectomy with preservation of blood supply from the left gastroepiploic vessels. In the article, we described patient indications for surgery, surgical technique, surgery time, complications, and follow-up outcomes.Results:Eleven patients (mean age: 12.3 ± 3.4 years) underwent laparoscopic partial splenectomy. Indications for surgery included nonparasitic cysts (n= 8), pseudocysts (n= 2), and hamartomas (n= 1). The mean benign mass diameter was 60 ± 22 mm. The mean operative time was 193.2 ± 55.1 minutes. The mean size of the retained lower pole was 31.1% ± 3.8%. There was no conversion to open splenectomy or any significant complication. The mean postoperative stay was 9 ± 0.7 days. No thrombosis of the splenic and portal veins was noted in the follow-up period, and no splenic remnant infarction occurred.Conclusions:Laparoscopic partial splenectomy with preservation of blood supply arising from the left gastroepiploic vessels seems to be safe in children. However, a larger study is needed to confirm our results.