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Revista argentina de cirugía
Print version ISSN 2250-639XOn-line version ISSN 2250-639X
Abstract
MINETTI, Ángel M. et al. Splenic cyst. Laparoscopic partial splenectomy with vascular exclusion. Rev. argent. cir. [online]. 2021, vol.113, n.2, pp.216-223. ISSN 2250-639X. http://dx.doi.org/10.25132/raac.v113.n2.1500.ei.
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 splenec tomy; 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 clam ping, 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.
Keywords : Splenectomy; Splenic cyst; Partial splenectomy.