Feasibility and safety of single-incision laparoscopic splenectomy: a systematic review

Fan, Ying; Wu, Shuodong; Kong, Jing; Yang, Sihua; Tian, Yu; Yu, Hong

doi:10.1016/j.jss.2013.09.010

Cited by 28 publications

(19 citation statements)

References 45 publications

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“…According to previous reports regarding SILS [9,10], venous bleeding is an important factor in the decision to convert to open surgery. To prevent bleeding from the short gastric vein during laparoscopic splenectomy, the use of an energy device is recommended [3,4,5,9,10].…”

Section: Discussionmentioning

confidence: 99%

“…To prevent bleeding from the short gastric vein during laparoscopic splenectomy, the use of an energy device is recommended [3,4,5,9,10]. Because the manipulability of a straight energy device is inconvenient during SILS, we used articulated laparosonic coagulating shears and articulated laparoscopic forceps.…”

Section: Discussionmentioning

confidence: 99%

“…We could thus safely separate the greater omentum from the spleen. To prevent bleeding from the splenic vein and/or the hilum of the spleen during laparoscopic splenectomy, it is recommended that the splenic artery and vein be cut together using an endoscopic linear stapler without labored separation [3,4,5,9,10]. We could cut the splenic artery and vein together using an articulated laparoscopic linear stapler.…”

Section: Discussionmentioning

confidence: 99%

“…Achievement of SILS for an unruptured aneurysm of the splenic artery requires the use of appropriate instruments. Additionally, splenomegaly is an important factor in the decision to convert to open surgery [9,10]; therefore, SILS for aneurysm of the splenic artery should be used in selected patients without splenomegaly.…”

Section: Discussionmentioning

confidence: 99%

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

Toyoda¹,

Igami²,

Ochiai³

et al. 2017

Med Princ Pract

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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

Toyoda¹,

Igami²,

Ochiai³

et al. 2017

Med Princ Pract

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“…Although laparoscopic fenestration has become a standard approach for the treatment of liver cysts, [1][2][3][4][5] there are still few reports regarding SILS for liver cysts, 6-10 when compared with other diseases, i.e., cholecystectomy, 13 appendectomy, 14 splenectomy, 15 and pancreatic resection. 16 To avoid the recurrence of a liver cyst after surgery, wide fenestration and ablation of the remnant membrane of the cystic wall are recognized as essential and important techniques.…”

Section: Discussionmentioning

confidence: 99%

Application of a Z-Shaped Umbilical Incision and a Saline-Cooled Radiofrequency Device to Single-Incision Laparoscopic Surgery for a Huge Liver Cyst: Report of a Case

Igami

Tsuchiya

Yokoyama

et al. 2015

International Surgery

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When compared with other diseases, few authors have reported on single-incision laparoscopic surgery (SILS) for liver cysts. We herein describe our experience with SILS for a huge liver cyst with the application of an umbilical Z-shaped incision using a gel port and a high-density monopolar saline-cooled radiofrequency device with a successful outcome. An 80-old-year woman was diagnosed with a huge liver cyst with abdominal pain. She underwent percutaneous drainage of the liver cyst and injection of both absolute ethanol and an antimicrobial agent into the liver cyst at the previous hospital. Because of re-expansion of the liver cyst and symptom recurrence, we performed SILS for the liver cyst. An umbilical Z-shaped incision was made for gel port placement. After aspiration of the cystic fluid and dissection of the thin cystic wall by laparoscopic coagulating shears, the thick cystic wall was divided using an endoscopic linear stapler to avoid bleeding and bile leakage. After wide fenestration, a high-density monopolar saline-cooled radiofrequency device was applied for the ablation of the remnant membrane of the cystic wall. All maneuvers could be performed only through the gel port. The patient was discharged 4 days after surgery and was satisfied with the cosmetic results. This case shows that the application of an umbilical Zshaped incision using a gel port and a high-density monopolar saline-cooled radiofrequency device is useful for the accomplishment of SILS for a huge liver cyst.

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Laparoscopic Splenectomy

Shaver¹,

Mayhew²

2015

Small Animal Laparoscopy and Thoracoscopy

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Feasibility and safety of single-incision laparoscopic splenectomy: a systematic review

Cited by 28 publications

References 45 publications

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

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

Application of a Z-Shaped Umbilical Incision and a Saline-Cooled Radiofrequency Device to Single-Incision Laparoscopic Surgery for a Huge Liver Cyst: Report of a Case

Laparoscopic Splenectomy

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