Transumbilical Single-site Laparoscopic Partial Splenectomy for Splenic Cysts in Children
10.3969/j.issn.1009-6604.2025.03.011
- VernacularTitle:经脐单部位腹腔镜脾部分切除术治疗儿童脾囊肿
- Author:
Meng KONG
1
;
Jinhua JIA
1
;
Chuanyang LIU
1
;
Shisong ZHANG
1
;
Hongzhen LIU
1
Author Information
1. 山东大学附属儿童医院 济南市儿童医院普外科,济南 250022
- Publication Type:Journal Article
- Keywords:
Partial splenectomy;
Laparoscopy;
Transumbilical single-site surgery;
Splenic cyst;
Children
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(3):185-189
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and feasibility of transumbilical single-site laparoscopic partial splenectomy for pediatric splenic cysts.Methods A retrospective analysis was conducted on 5 cases of splenic cysts from January 2021 to April 2024,with cyst diameters ranging from 6 cm to 11 cm.A vertical incision approximately 2 cm in length was made at the umbilicus,and three 5 mm trocars were inserted in a"triangle"shape,one for observation and two for operation.Splenectomy of the upper pole(4 cases)or lower pole(1 case)was performed.Results The operations were successfully completed in all the 5 cases without conversion to open surgery.One case required intraoperative transfusion of suspended red blood cells.The operation time was 100-250 min(mean,162 min),the intraoperative blood loss was 30-200 ml(mean,72 ml),the postoperative drainage time was 2-3 d,and the postoperative hospital stay was 4-8 d(mean,6.4 d).No complications were observed.One case had mild thrombocytosis(434×109/L)at one week postoperatively,which returned to normal upon re-examination two weeks later.Postoperative pathological examination confirmed splenic cysts.Follow-ups ranged for6-44 months,with an average of 28.4 months.No complications such as thrombocytosis,cyst recurrence,residual splenic necrosis,venous thrombosis,or incisional hernia were reported.Conclusion Transumbilical single-site laparoscopic partial splenectomy is safe and feasible for treating pediatric splenic cysts.
