Single-incision laparoscopic splenectomy

Abstract

Single-incision laparoscopic surgery (SILS) is a rapidly evolving field as a bridge between traditional laparoscopic surgery and natural orifice transluminal endoscopic surgery. We present a case of SILS splenectomy performed with conventional laparoscopic instruments in a 7-month-old boy with the diagnosis of multiple splenic abscesses. A 3-cm umbilical incision was used for the placement of two (5 mm) trocars and one 10-mm videoscope (30°). Conventional laparoscopic dissector and grasper were the main tools during surgical procedure. Spleen was removed through the umbilical incision. Although procedures like aingle-incision cholecystectomy have been reported, to the best of our knowledge this is the first report of SILS splenectomy using conventional laparoscopic instruments reported from India and is perhaps the first in an infant in the world literature.

Single-incision laparoscopic splenectomy in children

“…However, we did not objectively compare the satisfaction between the SS and LS groups. Similarly, cosmetic results are universally reported as excellent throughout the literature yet without comparison to traditional laparoscopic surgery [3][4][5][6][7][8][9][10][11][12]. These claims are largely subjective, but randomized trials aimed at objective evaluation of pain and scar cosmesis in SILS vs standard laparoscopic surgery are currently underway [8].…”

“…More than 4500 reports of SILS procedures have been published, with application to diseases of the appendix, gallbladder, liver, stomach, small bowel, colon, kidney, adrenals, and spleen [7]. Several case reports and series have been published in the pediatric literature supporting both the feasibility of SILS procedures in small patients and their favorable cosmetic outcomes [3,4,8,[10][11][12]. However, studies of complex SILS procedures are scarce, and comparative studies have not been performed to determine whether the less-invasive nature of SILS accentuates the benefits already afforded by standard multiport laparoscopic surgery.…”

Surgical Treatment Possibilities of Splenic Neoplasms - Literature Review

“…Based on available literature the SILS approach in case of splenic surgery was described eight times, and all studies were elaborated after 2009. The previously published results confirmed the safety of the procedure, however, current knowledge and experience are insufficient as to draw far reaching conclusions concerning procedure recommendations (17,18,19).…”

Early experience with single-incision laparoscopic surgery for the placement of a gastrostomy in a 10-year-old girl: a case report

“…Single-incision laparoscopic appendectomy [2-4] and cholecystectomy [5-7] are SILS procedures that have been described in pediatric patients. Few case reports of splenectomy [8-10] and nephrectomy [11,12] by SILS approach in children have been described to date.…”