Journal of Pediatrics and Palliative Care
Alternative Incision to Remove Larger Spleen in Laparoscopic Splenectomy in Pediatric Population: A Case Report
- Gastro-transplantation Department, HP CMNSXXI (IMSS), México
- Transplants-coordination Department, IMSS, México
- Direction Department, HP CMNSXXI (IMSS), México
- Pediatric Surgery Department, HP CMNSXXI (IMSS), México
- Pathology Departments, HP CMNSXXI (IMSS), México
Pierre Jean Aurelus, Hospital de Pediatría Centro Médico Nacional Siglo XXI (Instituto Mexicano Del Seguro Social “IMSS”), México, Tel: 525556276900; E-mail: firstname.lastname@example.org
Aurelus, P.J., et al. Alternative Incision to remove Larger Spleen in Laparoscopic Splenectomy in Pediatric Population: A Case Report. (2017) J Palliat Care Pediatr 2(1): 56- 59.
© 2017 Aurelus, P.J. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
KeywordsPelvic incision; Splenectomy; Laparoscopic; Child
Introduction: The introduction of laparoscopy in the early 1990s had given a new era in the surgical treatment of human diseases, laparoscopic surgery is a well-established alternative to open surgery across disciplines. The laparoscopic splenectomy proved to be a safe procedure, usually; the benefits of this procedure are widely recognized by a better cosmesis, reduced postoperative pain, shorter hospital stay and a good convalescence. Underwent, a single left pelvic incision we can remove a massive spleen without morcellated it, in a child by laparoscopic procedure.
Case Report: A 3-year-old male child of 15 kg of weight and 1.2 cm of size with 2 years’ history of portal hypertension, esophagic variceal and gastrointestinal hemorrhagic secondary to portal cavernous degeneration. Clinical examination showed evidence of hepatosplenomegaly. We performed an abdominal ultrasound and computed abdominal tomography angiography to evaluate the vasculature and the size of the spleen to performed a laparoscopic splenectomy.
Conclusion: Like we had seen in our case report and mentioned a lack of randomized controlled trial, the laparoscopic splenectomy is a technically feasible, safe and effective procedure for hypersplenism secondary to cirrhosis and portal hypertension, contributes to decreased blood loss and a shorter hospital stay and with this left pelvic incision we can remove a massive spleen without morcellated the spleen to prevent bag perforation or accident.