Laparoscopic Resection of a Splenic Artery Aneurysm

Abstract

Laparoscopic resection of a 2.5 cm splenic artery aneurysm in a 64-year-old woman is presented. The diagnosis was suspected on plain roentgenograms of the lumbosacral spine and confirmed by abdominal CT scan and selective splenic arteriography. The hospital course was uneventful and she was discharged 2 days postoperatively. This new endoscopic approach offers a useful alternative to the surgical management of splenic artery aneurysms, and may have some theoretical advantages, including less postoperative pain and shorter convalescence.

Treatment of distal splenic artery aneurysm by laparoscopic aneurysmectomy with end-to-end anastomosis

“…[4,11] Only 2 publications have reported 31 cases of laparoscopic repair of SAA. [5,7] In experienced hands, the laparoscopic procedure is safe and feasible with distinct advantages such as small incisions, fewer complications, and shorter hospital stays compared to the open procedure.…”

Laparoscopic Excision of Splenic Artery Aneurysm

“…Since the first successful laparoscopic-assisted SAA resection performed in 1993 by Saw et al, 12 simple laparoscopic ligation of the artery proximal to the SAA and SAA resection with or without splenectomy have been conducted with increasing frequency. In experienced hands, laparoscopic surgery is a simple, safe, minimally invasive technique, with rapid recovery, decreased postoperative pain, and shorter hospital stay compared with the open technique.…”

Laparoscopic resection of splenic artery aneurysms

“…The first laparoscopic splenic artery aneurysm resection was performed by Saw in 1993 [24]. Since that time, several other case reports of laparoscopic resection have been reported in the literature [1,2,14,18,21].…”