Journal of Pediatrics and Palliative CareJournal of Pediatrics and Palliative CareJournal of Pediatrics and Palliative CareJournal of Pediatrics and Palliative Care2690-4810Ommega Online PublishersNew Jersey, USA1294Research ArticleAlternative Incision to Remove Larger Spleen in Laparoscopic Splenectomy in Pediatric Population: A Case ReportAlternative Incision to Remove Larger Spleen in Laparoscopic Splenectomy in Pediatric Population: A Case ReportPierre Jean Aurelus 1Gastro-transplantation Department HP CMNSXXI IMSS M eacute xico 2Transplants-coordination Department IMSS M eacute xico 3Direction Department HP CMNSXXI IMSS M eacute xico 4Pediatric Surgery Department HP CMNSXXI IMSS M eacute xico 5Pathology Departments HP CMNSXXI IMSS M eacute xico Editor* E-mail: aurelusjean@yahoo.com.mx
The authors have declared that no competing interests exist.
20172503201711OJP-16-CR-129430122016210320172017Creative Commons Attribution LicenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. nbsp 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 rsquo 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 10