Splenic cyst. Laparoscopic partial splenectomy with vascular exclusion

Abstract

Background: Background: Spleen resection is associated with high risk of infections. The risk of sepsis ranges between 4.25% and 18.2%. Splenectomy is the usual surgical practice in spleen diseases, and partial resection is the best option, when possible.
Objective: The aim of this study was to evaluate the outcomes of partial splenectomy with vascular occlusion in patients with splenic cysts.
Material and methods: Over a 3-year period, 4 patients with splenic cysts underwent partial splenectomy; vascular exclusion was used in 2 of them. Three patients were women; age, 30.5 years; BMI: 36.1
Results: Operative time. 120.75 minute; clamping time, 12 minutes. Blood loss without vascular clamping, 700 and 200 mL; with vascular clamp, 50 and 30 mL. One patient was reoperated with total splenectomy via the conventional approach. Length of hospital stay, 3.5 days.
Conclusions: Partial splenectomy with temporary vascular clamping is a feasible and safe option with minor intraoperative bleeding.