Our Summary

The spleen is often removed in surgeries due to benign and malignant diseases. However, removing it increases the risk of infections after surgery, which necessitates the use of lifelong antibiotics. To lessen this risk, advancements in surgical techniques have led to the development of partial spleen removal. This leaves some of the spleen intact, preserving its immune system function and eliminating the need for lifelong antibiotics. In addition, using a laparoscopic approach to this surgery seems to allow for quicker recovery. This study reports on two cases of benign spleen cysts that were treated with this laparoscopic partial spleen removal technique. The technical aspects of the procedure, along with data from recent studies, are also discussed.

FAQs

  1. Why is the spleen often removed during surgeries?
  2. What are the benefits of a partial spleen removal versus a full splenectomy?
  3. What is the laparoscopic partial spleen removal technique and how does it aid in quicker recovery?

Doctor’s Tip

It is important to discuss all options with your doctor and ask about the possibility of a partial spleen removal to preserve as much of its function as possible. Additionally, make sure to follow your doctor’s instructions for post-operative care and attend all follow-up appointments to monitor your recovery and overall health.

Suitable For

Patients who are typically recommended for splenectomy include those with:

  1. Hematologic disorders such as idiopathic thrombocytopenic purpura (ITP), hereditary spherocytosis, and thalassemia.
  2. Splenic tumors, such as lymphoma or metastatic cancer.
  3. Trauma to the spleen that cannot be treated conservatively.
  4. Enlarged spleen due to conditions such as cirrhosis or portal hypertension.
  5. Severe cases of autoimmune diseases such as lupus or rheumatoid arthritis.
  6. Recurrent episodes of splenic abscesses or cysts that cannot be effectively treated with other methods.

It is important for patients to discuss the risks and benefits of splenectomy with their healthcare provider to determine if it is the best treatment option for their specific condition.

Timeline

  • Before splenectomy:
  1. Patient presents with symptoms such as abdominal pain, fatigue, and anemia.
  2. Diagnosis of benign or malignant disease of the spleen is confirmed through imaging tests and biopsies.
  3. Patient undergoes pre-operative evaluations and consultations with the surgical team.
  4. Treatment options, including splenectomy, are discussed with the patient.
  5. Surgery date is scheduled, and patient receives instructions for pre-operative preparation.
  • After splenectomy:
  1. Patient undergoes laparoscopic partial spleen removal surgery.
  2. Recovery period in the hospital, typically 1-2 days.
  3. Patient is monitored for any complications, such as infection or bleeding.
  4. Patient is discharged from the hospital and instructed on post-operative care, including pain management and wound care.
  5. Patient is prescribed antibiotics to prevent infections due to the lack of spleen function.
  6. Follow-up appointments are scheduled to monitor recovery and assess the need for additional treatment.
  7. Patient may experience improved symptoms and quality of life after surgery.

What to Ask Your Doctor

  1. What are the reasons for recommending a splenectomy in my case?
  2. Are there any alternative treatments to a splenectomy that I should consider?
  3. What are the risks and benefits of a splenectomy in my specific situation?
  4. Will a partial spleen removal be possible in my case, and what are the potential advantages of this approach?
  5. What is the expected recovery time after a splenectomy, and are there any long-term effects I should be aware of?
  6. Will I need to take lifelong antibiotics after the surgery, and what are the risks associated with this?
  7. How will a splenectomy affect my immune system and overall health in the long term?
  8. Are there any specific precautions or lifestyle changes I should follow after a splenectomy?
  9. How often will I need follow-up appointments or monitoring after the surgery?
  10. Can you provide me with any additional information or resources about splenectomy and its potential implications?

Reference

Authors: Di Mauro D, Fasano A, Gelsomino M, Manzelli A. Journal: Acta Biomed. 2021 Apr 30;92(S1):e2021137. doi: 10.23750/abm.v92iS1.10186. PMID: 33944822