Laparoscopic splenic artery aneurysmectomy with ICG guided partial splenectomy: alternative approach.

Autor: Silvestri V; Department of General and Oncological Minimally Invasive Surgery, University Federico II of Naples, Naples, Italy., Pontecorvi E; Department of General and Oncological Minimally Invasive Surgery, University Federico II of Naples, Naples, Italy., Filotico M; Department of General and Oncological Minimally Invasive Surgery, University Federico II of Naples, Naples, Italy., Coppola A; Department of General and Oncological Minimally Invasive Surgery, University Federico II of Naples, Naples, Italy., Lauria F; Department of General and Oncological Minimally Invasive Surgery, University Federico II of Naples, Naples, Italy., Bracale U; Department of General and Oncological Minimally Invasive Surgery, University Federico II of Naples, Naples, Italy., Corcione F; Department of General and Oncological Minimally Invasive Surgery, University Federico II of Naples, Naples, Italy.
Jazyk: angličtina
Zdroj: Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy [Minim Invasive Ther Allied Technol] 2022 Jun; Vol. 31 (5), pp. 810-814. Date of Electronic Publication: 2021 Oct 25.
DOI: 10.1080/13645706.2021.1994420
Abstrakt: We herein report the case of a voluminous splenic artery aneurysm (SAA) diagnosed in a 48 year-old Caucasian male patient. After endovascular treatment failure, considering the volumetric aneurysm increase and recurrent symptoms, a laparoscopic splenic artery aneurysmectomy with partial splenectomy guided by indocyanine green fluorescence (ICG) was performed. This conservative strategy leads to save a spleen volume of about 10 cm 3 to avoid postsplenectomy thrombocytosis and infections, potential immunodeficiency and overwhelming postsplenectomy infection syndrome (OPSS) and to preserve pancreatic vascularization preventing distal pancreas injuries.
Databáze: MEDLINE
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