Laparoscopic Splenic Artery Aneurysm Resection

Abstract

Splenic artery aneurysm, although rare, is the commonest visceral aneurysm. Its management options have expanded with advances in minimally invasive techniques. In the last decade, the laparoscopic technique has gained popularity owing to its simplicity, safety, and short postoperative course in the experienced hand. We recommend the laparoscopic approach to be considered as the first option in the management of splenic artery aneurysm. It is of particular use in pregnant women where this condition has a high mortality and morbidity.

Laparoscopic Excision of Splenic Artery Aneurysm

“…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. 13 Some authors have advocated a tangential stapler resection of sacciform aneurysms to preserve splenic flow, but others worry that this type of laparoscopic treatment leaves behind part of the aneurysmal artery and therefore might contribute to recurrence. 14,15 Ligation of the proximal and distal segment is considered safer in lesions of the medial third, because these are often adherent to the pancreas.…”

Spontaneous ruptured splenic artery aneurysm: a case report

“…Recent advances include the popular use of laparoscopic surgery [17] and non-operative endovascular management of splenic artery aneurysms [18]. …”

Laparoscopic Resection of a Splenic Artery Aneurism with Spleen Preservation

“…Proximal and distal ligations, with or without resection of the SAA and with or without splenectomy, are safer approaches [3,6,9]. In experienced hands, this is a simple, safe, and minimally invasive technique, allowing rapid recovery, decreased postoperative pain, and shorter hospital stay than open surgery [6,10]. Reconstruction of vascular continuity of the splenic artery is usually not necessary due to the collateral circulation provided by the short gastric vessels.…”