Single incision laparoscopic splenectomy in a 5-year-old with hereditary spherocytosis

Erik N. Hansen, Oliver J. Muensterer

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Background: Single incision laparoscopic surgery (SILS) is an emerging technique that has been used as an approach for appendectomy, cholecystectomy, and splenectomy. We describe the technique of single incision laparoscopic splenectomy for hypersplenism in a 5-year-old boy with spherocytosis. Case Report: The patient required blood transfusions for anemia secondary to hypersplenism. His spleen measured 9.8 cm in cranio-caudal length on ultrasound. SILS splenectomy was performed through a 2-cm umbilical incision by using 3 ports. The splenic attachments were taken down using an electrosurgical sealing and cutting device, and the hilum was transected with an endosurgical stapler. The spleen was placed in an endosurgical bag, morcellated, and removed from the abdomen via the umbilical incision without complications. Operative time was 84 minutes; blood loss was minimal. Conclusion: SILS splenectomy is feasible in pediatric patients. More experience is needed to assess advantages and disadvantages compared with the standard laparoscopic approach.

Original languageEnglish (US)
Pages (from-to)286-288
Number of pages3
JournalJournal of the Society of Laparoendoscopic Surgeons
Volume14
Issue number2
DOIs
StatePublished - Apr 2010
Externally publishedYes

Keywords

  • Child
  • Laparoscopy
  • Single incision
  • Splenectomy

ASJC Scopus subject areas

  • Surgery

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