Single-Incision Laparoscopic Splenectomy for an Unruptured Aneurysm of the Splenic Artery

Abstract

Objective: We describe our experience of single-incision laparoscopic splenectomy (SILS) for an unruptured aneurysm of the splenic artery. Clinical Presentation and Intervention: A 73-year-old woman was diagnosed as having a splenic aneurysm which grew from 14 to 22 mm in diameter within 2 years. Due to a contrast agent allergy, transcatheter arterial embolization could not be performed; therefore, SILS was performed with a 4-cm Z-shaped incision. The operative time and intraoperative blood loss were 132 min and 27 mL, respectively. The patient was discharged 4 days after surgery. Conclusion: In selected cases, SILS is a suitable and safe procedure for an unruptured aneurysm of the splenic artery.

Böbrek nakli alıcısında splenik arter anevrizması

“…Condensation of the splenic surface does not infer to the possibility of a future splenic infarction, and there is evidence which shows that improved splenic perfusion and collateral circulation can restore the flow to the spleen after the operation. Indeed, of these patients, 22% had zones of splenic infarction, although only 2% required surgery [13]. In our case, there was no evidence of an infarction zone, confirmed visibly or by ultrasonography.…”

Laparoscopic treatment of symptomatic non-ruptered proximal and middle segment splenic artery aneurysm

“…The most frequent treatment options for SAAs are open abdominal surgery, endovascular treatment (coil embolization or stent), laparoscopic surgery, which is becoming more popular, and medical treatment. [2,11,12] Although transcatheter arterial embolization is widely accepted as a suitable and less invasive procedure for unruptured visceral artery aneurysms, it is occasionally impossible for certain reasons, e.g., allergy to contrast agent or technical problems. Also, splenic abscess formation, splenic infarct, high rate of recurrence and inability to perform in larger lesions are disadvantages for endovascular technique.…”

“…İn addition to this, laparoscopic surgery has become increasingly accepted as a surgical approach for unruptured visceral artery aneurysms. [7,11] In recent years, open aneurysm repair of SAAs has been largely replaced by minimally invasive surgery which result in less surgical trauma and faster postoperative recovery. Thus, laparoscopy may be a challenging alternative, not only to endovascular procedures, but also open surgery.…”