Title : Single-incision laparoscopic splenectomy for benign pediatric splenic tumors: A retrospective study
Abstract:
Background: For the treatment of benign splenic tumors in children, the indications for laparoscopic partial splenectomy are clear, but there is still controversy regarding the surgical complications and safety. This study aims to analyze the surgical outcomes of single-incision laparoscopic partial splenectomy and our surgical experience.
Methods: This study included 22 patients who underwent single-incision laparoscopic partial splenectomy at Anhui Children's Hospital from July 2021 to April 2024, as well as 25 patients who underwent laparoscopic total splenectomy during the same period. Patient characteristics, intraoperative parameters, and postoperative outcomes were compared to analyze the efficacy evaluation and safety analysis of single-incision laparoscopic partial splenectomy.
Results: Among the 22 patients who underwent partial splenectomy, 10 had splenic hemangioma, 5 had splenic lymphangioma, and 7 had splenic cysts. The duration of surgery ranged from 120 to 245 minutes (mean, 186.77 ± 40.99 min), and intraoperative blood loss ranged from 10 to 100 milliliters (mean, 34.41 ± 6.12 ml). The average postoperative hospital stay was 6.82 ± 0.78 days, with no major complications observed during the hospitalization period. All patients were followed for 12 to 20 months postoperatively. Compared to patients who underwent total splenectomy, there were no significant differences in operative time, intraoperative blood loss, or average postoperative hospital stay for those undergoing partial splenectomy. However, the incidence of postoperative complications, including thrombocytosis and abnormal leukocytosis, was significantly lower in the partial splenectomy group.
Conclusion: For pediatric patients with benign splenic tumors, single-port laparoscopic partial splenectomy allows for the resection of pathological tissue while preserving normal splenic function, without increasing surgical risk. Additionally, it effectively reduces the incidence of postoperative thrombocytosis and leukocytosis compared to total splenectomy. However, due to the complexity of the procedure, surgeons must be proficient in minimally invasive techniques, and careful case selection is essential.
Key Words:Partial splenectomy; Children; Benign splenic tumors; Single-incision; Thrombocytosis
