Single-Incision Laparoscopic Splenectomy in Children With Massive Splenomegaly: A Prospective, Monocentric Pilot Study

Authors

Congjun Wang
Cheng Su
Chao Chen
Xianming Tang
Hong Wang
Wei Li
Yanqiang Li
Qiang Liu
Peng Chen
Yong Li
Yige Luo

Publication Date

1-1-2022

Journal

Frontiers in Pediatrics

Abstract

BACKGROUND: Single-incision laparoscopic splenectomy (SILS) remains a challenging procedure because of the technical difficulty. In this prospective study, we aimed to evaluate the efficacy and safety of SILS in children with massive splenomegaly.

METHODS: Pediatric patients with massive splenomegaly were recruited for SILS in a university-affiliated hospital. The data on patient demographics, clinical features, operative variables, and perioperative outcomes were collected prospectively and analyzed. According to the different surgical instruments, the patients were randomly assigned into two groups: the SILS with straight surgical instrument (SILS-S) group and the SILS with curved surgical instrument (SILS-C) group. A two-group comparative analysis was conducted using perioperative data from the different surgical instrumentation systems.

RESULTS: A total of 120 patients were included, of which 103 patients (success group, 85.83%) had complete SILS, the other 17 (failure group, 14.17%) patients were converted to open (

CONCLUSION: SILS is a safe and feasible treatment in pediatric patients with massive splenomegaly, and curved surgical instrumentation has contributed to developing surgical manipulation.

Keywords

splenectomy, splenomegaly, single-incision laparoscopy, pediatric surgery, surgical outcomes

Comments

Associated Data

PMID: 36704139

DOI

10.3389/fped.2022.1097416

PMID

36704139

PMCID

PMC9871812

PubMedCentral® Posted Date

January 2023

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes