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Laparoscopic splenectomy is nowadays widely performed for the treatment of benign and malignant diseases of the spleen. However, removing the spleen increases the risk of postoperative infections, therefore patients need long-life antibiotics. Advancement in surgical technique and instrumentation have led to the development of partial splenectomy, which is mainly indicated to treat localized lesions of the spleen. The main advantage is the preservation of the immune function, so that long-life prescription of antibiotics is no longer needed. The introduction of the laparoscopic approach to laparoscopic splenectomy seems to add further benefits, namely a faster recovery. We report two cases of benign splenic cysts, which were treated by laparoscopic partial splenectomy. Technical aspects on the parenchymal transection and data from the most recent literature are discussed as well.
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http://dx.doi.org/10.23750/abm.v92iS1.10186 | DOI Listing |
Front Oncol
August 2025
Department of Hepatobiliary Surgery, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, China.
Epstein-Barr virus-positive inflammatory follicular dendritic cell sarcoma (EBV+ IFDCS) is a rare tumor that typically arises in the liver or spleen and is characterized by spindle-shaped cells within a dense lymphoplasmacytic background. We report a case of a 64-year-old woman with an incidental splenic mass found during routine imaging. MRI showed a 4.
View Article and Find Full Text PDFFront Med (Lausanne)
August 2025
Department of General Surgery, Bethune International Peace Hospital, Shijiazhuang, Hebei, China.
Background: Wandering spleen is a rare disorder characterized by splenic displacement into the abdominal or pelvic cavity, predisposing to torsion and infarction. Congenital factors (long pedicle, lax ligaments) or acquired conditions (splenomegaly) are the usual causes.
Case Presentation: A 17-year-old female presented with 5 days of escalating abdominal pain.
BMC Surg
August 2025
Senior Department of General Surgery, The First Medical Center of Chinese PLA General Hospital, Fuxin Road, No.28, Haidian District, Beijing, 100853, China.
Background: The dilemma of current treatments for symptomatic patients with portal hypertension is how to resolve the problems of the varices and hypersplenism simultaneously and meanwhile preserve the splenic function. Partial splenectomy and pericardial devascularization is a potential alternative to currently used approaches, but it is incompletely defined. This study aimed to evaluate the efficacy and safety of partial splenectomy and pericardial devascularization.
View Article and Find Full Text PDFRadiol Case Rep
November 2025
Radiology Department, CHU Hassan II, Fez, Morocco.
Wandering spleen is a rare condition characterized by the absence or underdevelopment of one or all of the ligaments that hold the spleen in its normal position in the left upper quadrant of the abdomen. It is an uncommon clinical entity that mainly affects children. Among adults, it most frequently affects women of reproductive age, in whom acquired laxity of the splenic ligaments is usually the cause.
View Article and Find Full Text PDFAnn Surg Oncol
August 2025
Jishou University Zhuzhou Clinical College, Medical College, Jishou University, Zhuzhou, Hunan, China.
Background: Laparoscopic partial splenectomy (LPS) is an effective method for resecting benign splenic lesions while maintaining physiological splenic function. The primary surgical challenge is controlling hemorrhage during parenchymal transection. Although previous studies have highlighted the success of bipolar electrothermal devices, and microwave ablation in this phase, we introduced a novel technique integrating ultrasonic dissection with linear stapling technology.
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