Laparoscopic and Robotic Surgery for Splenic Artery Aneurysm: A Systematic Review

Ossola, Paolo; Mascioli, Fabio Massimo Frattale; Coletta, Diego

doi:10.1016/j.avsg.2020.05.037

Cited by 17 publications

(8 citation statements)

References 45 publications

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“…In this sense laparoscopy approach could play a crucial role in the execution of a radical excision. 15,16 The PC rate was 10.9% (Fig. 1), being pulmonary infection the most common complication (Table 2).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Mesogastrium Excision for Gastric Cancer: Only the Beginning

Ossola

Mascioli

Coletta

et al. 2021

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Background: Surgery, with the aid of chemotherapy and radiotherapy, is the only curative chance for gastric cancer. Unfortunately, gastric cancer had an elevated recurrence rate, primarily locally. Mesogastrium excision (MGE) during D2 lymphadenectomy has the aim to remove all possible contaminated tissue around the stomach. Methods: PubMed, EMBASE, and the Web of Science (WOS) were systematically searched for MGE reports in gastric cancer up to March 2020. The outcome reported were the number of lymph nodes retrieved, operative time (OT), overall morbidity, intra-and postoperative complications, conversion rate, and length of hospital stay.Results: A total of six studies, including 518 patients, were considered eligible for this analysis. All the studies reported laparoscopic cases. The mean number of lymph nodes retrieved was 36.7 -10.1. Mean OT was 240.7 -10.1 minutes. One case of conversion is reported. Overall morbidity was 6%. Medium estimated blood loss was 50.2 -39.6 mL. Overall length of stay was 10.7 -0.7 days. Mean follow-up was 11 -1.4 months. Conclusions: Only few studies evaluated this item, and according to the available evidence, MGE is a feasible technique that could be performed, also laparoscopically, in all surgical resections for gastric cancer with curative intent. Further studies are essential to establish the clear indication of this invasive procedure.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Mesogastrium Excision for Gastric Cancer: Only the Beginning

Ossola

Mascioli

Coletta

et al. 2021

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…A systematic review of laparoscopic and robotic treatment of splenic artery aneurysms with 40 studies and 107 patients demonstrated the safety of these surgical options. 6 Aneursymectomy was the most common surgery followed by surgical ligation and then splenectomy. The largest aneurysm operated on in this review however was 60 mm.…”

Section: Discussionmentioning

confidence: 99%

“…5 Endovascular treatment, being the less invasive option, is correlated with a shorter hospital stay and more rapid recovery and is the standard for elective treatment. 6 For emergent cases, endovascular treatment can be utilized as well. However, sometimes laparotomy may be necessary depending on size, location, and involvement of adjacent organs.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Approach for Treatment of a Symptomatic Giant Splenic Artery Aneurysm

Connors

Allen

Snyder

et al. 2023

Vasc Endovascular Surg

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A 56-year-old female presented with a symptomatic giant fusiform mid-splenic artery aneurysm (7.3 x 6.4 cm). The patient underwent hybrid management of the aneurysm with endovascular embolization of the aneurysm and inflow splenic artery followed by laparoscopic splenectomy with control and division of the outflow vessels. The patient had an uneventful post-operative course. This case demonstrates the safety and efficacy of an innovative, hybrid management of a giant splenic artery aneurysm with endovascular embolization and laparoscopic splenectomy that spares the pancreatic tail.

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“…The real risk of the rupture of small VAAs of the SMA and its branches in order to ascertain if they really deserve interventional treatment regardless of their size; Both Guidelines acknowledge the role of FDs as promising, but not yet fully elucidated, as well as the role of laparoscopic and robotic surgeries. The current literature provides the optimal results of these techniques, but the sample sizes are still too small to produce scientific evidence comparable to that of open or endovascular surgeries [14,15].…”

Section: Debated Issuesmentioning

confidence: 99%

Current Debates in the Management of Visceral Artery Aneurysms: Where the Guidelines Collide

Marone

Rinaldi

2023

JCM

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On one hand, the main difficulties in establishing a wide, evidence-based consensus about the best approach to visceral artery aneurysms (VAAs) and pseudoaneurysms (VAPAs) are the paucity of data, due to their rarity in the general population, and the extreme heterogeneity of this group of diseases, which encompasses different aneurysm types, with different degrees of rupture risks according to their anatomical locations [...]

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Laparoscopic and Robotic Surgery for Splenic Artery Aneurysm: A Systematic Review

Cited by 17 publications

References 45 publications

Laparoscopic Mesogastrium Excision for Gastric Cancer: Only the Beginning

Laparoscopic Mesogastrium Excision for Gastric Cancer: Only the Beginning

Hybrid Approach for Treatment of a Symptomatic Giant Splenic Artery Aneurysm

Current Debates in the Management of Visceral Artery Aneurysms: Where the Guidelines Collide

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