Laparoscopic Partial Splenectomy for a Hemangioma of the Spleen

Autor: Maria M. Bailez, Gaston Elmo
Rok vydání: 2004
Předmět:
Zdroj: Pediatric Endosurgery & Innovative Techniques. 8:147-151
ISSN: 1092-6410
Popis: We report the first successful laparoscopic segmentary splenectomy for a spleen neoplasm in pediatrics. Splenic hemangioma is a rare disorder, but remains the most common benign neoplasm of the spleen. The diagnosis is most often made after histological findings of a resected solid spleen tumor. A 2-year-old male presented with recurrent abdominal pain. Ultrasonography and CT showed a hypoechogenic mass involving the spleen pedicle. A laparoscopic approach showed a solid tumor in the lower pole of the spleen extending up to the main vessels. We used four ports: an umbilical 10 mm port for the lens; one in the left lower quadrant 5 mm for the surgeon's right hand; one epigastric 5 mm for retraction and suction; and one 5 mm in the midline, between the umbilicus and the epigastric port, for the surgeon's left hand. The bipolar vessel sealing system was used successfully as the primary method for vessel occlusion. Approaching the upper border of the tumor, we found a splenic upper pole vascular pedicle which...
Databáze: OpenAIRE