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Laparoscopic Partial Splenectomy Assisted by Fluorescence in a 13-Year-Old Girl
- Source :
- European Journal of Pediatric Surgery Reports, European Journal of Pediatric Surgery Reports, Vol 08, Iss 01, Pp e81-e85 (2020)
- Publication Year :
- 2020
- Publisher :
- Georg Thieme Verlag KG, 2020.
-
Abstract
- Partial splenectomy allows preserving immune function in benign splenic lesions such as epidermoid cysts. Determining the plane of resection and perfusion of the spleen remnant can be difficult, especially in centrally located lesions. We present a 13-year-old girl with a symptomatic splenic cyst of 6 cm in diameter located next to the splenic hilum. Laparoscopic partial splenectomy was performed through a 10-mm umbilical approach and three accessory 5-mm ports. Intraoperative intravenous injection of indocyanine green (ICG) at 0.2 mg/kg guided the careful dissection of the splenic hilum and checked the spleen perfusion once the upper arterial branch was clamped. The subsequent wash-out of the ICG allowed inspection of the peripheral vascular return of the splenic remnant through polar veins. Surgery was uneventful with minimal blood loss. Follow-up ultrasound scan revealed a well-perfused small splenic remnant with no signs of recurrence.Laparoscopic partial splenectomy is feasible in benign splenic tumors, especially in those cases of peripheral location. Fluorescence facilitates the safe dissection of the splenic hilum, the visualization of the transection plane of the spleen and the perfusion of the remnant in cases of anatomically and technically complicated partial splenectomies.
- Subjects :
- Splenic cyst
medicine.medical_specialty
indocyanine green
lcsh:Surgery
laparoscopy
Case Report
Spleen
Dissection (medical)
chemistry.chemical_compound
medicine
Laparoscopy
partial splenectomy
medicine.diagnostic_test
business.industry
lcsh:RJ1-570
lcsh:Pediatrics
lcsh:RD1-811
medicine.disease
pediatric
medicine.anatomical_structure
Splenic Hilum
chemistry
Laparoscopic partial splenectomy
fluorescence
Radiology
business
Perfusion
Indocyanine green
Subjects
Details
- ISSN :
- 21947627 and 21947619
- Database :
- OpenAIRE
- Journal :
- European Journal of Pediatric Surgery Reports
- Accession number :
- edsair.doi.dedup.....6cf084901635cd76abd6d51b96533451