Laparoscopic subtotal splenectomy in hereditary spherocytosis

Abstract

The paper by Sanjeev Dutta et al. [1] about the laparoscopic approach to partial splenectomy in children with hereditary spherocytosis states that they have developed a novel laparoscopic partial splenectomy technique that combines the benefits of partial splenectomy with those of a laparoscopic approach. This technique, however, is not new, as erroneously stated by the authors. The technique was first published in 2003 [2] (the paper, with an English abstract, is listed by Medline). Subsequent results were presented in 2005 and published in your journal in 2006 [3]. Our group has utilized this technique for several years and has performed laparoscopic subtotal splenectomies between

Laparoscopic Partial Splenectomy: Indications and results of a multicenter retrospective study

“…Laparoscopic subtotal splenectomy for hereditary spherocytosis was described in two cases in 2003 [24], however, until now, paediatric surgeons had to choose between the advantages of the laparoscopic approach and those of partial splenectomy by laparotomy. The surgical procedure we propose in our report can free surgeons from such a choice, since it associates the benefits of both the laparoscopic and partial approaches.…”

Prezervarea Splinei Într-Un Caz de Chist Splenic Voluminos

“…Există însă autori care împărtășesc altă opinie: toate chisturile neparazitare sunt de origine congenitală, iar traumatismul nu este un factor patogenic principal în apariția chistului [2]. Chisturile splenice primare epidermoide sunt considerate de origine embrionară (disontogenetice), prezintă un vârf al frecvenței în copilărie și sunt o patologie mai des întâlnită în populația pediatrică [6], spre deosebire de chisturile secundare care totalizează peste 80% dintre leziunile chistice splenice neparazitare la adulți.…”

“…În funcței de etiologie, chisturile splenice reprezintă o indicație de splenectomie (totală sau parțială); cu toate acestea la pacienții tineri se preferă prezervarea splinei pentru a limita expunerea pacienților la infecții severe [2][3][4][5].…”

Laparoscopic partial splenectomy using a detachable clamp with and without partial splenic embolisation

“…This includes disorders like non-parasitic splenic cysts; intra-splenic pancreatic cysts; partial infarctions; benign tumours like hamartomas, fibromas or haemangiomas; metastases, usually of gynaecologic origin; splenic lesions of uncertain histology; and staging laparoscopies for lymphomas. Also, partial or even subtotal splenectomies can be effective alternatives to total splenectomies in patients suffering from hereditary spherocytosis [8,9] and in patients following traumatic or surgical splenic lesions [10]. However, laparoscopic splenectomies in general and laparoscopic partial splenectomies in particular remain to be a surgical challenge.…”