Our Summary

This study looked at the possibility of removing part of the spleen using a less invasive surgical technique called laparoscopic splenectomy in patients with non-cancerous spleen problems. Over three years, one surgeon performed this procedure on seven patients. The researchers checked how well patients recovered in the short term, as well as six months after the surgery. They found that the surgery was successful in all cases, with no serious problems. No patients died within 30 days of the surgery. Patients didn’t need any blood transfusions after the surgery and stayed in the hospital for an average of four days. The surgery itself took about 110 minutes on average, and the surgeon didn’t need to switch to a more invasive technique or remove the entire spleen in any of the cases. On average, patients lost about 136 milliliters of blood during the surgery, but didn’t need any blood transfusions. Patients recovered well, with a significant reduction in a particular marker (Ca 19.9), and a normal number of blood clotting cells (platelets) one month after the surgery. There were no cases of the spleen problems coming back within six months of the surgery. The researchers concluded that this less invasive technique for partially removing the spleen can work well. It has the benefits of both being less invasive and preserving most of the spleen.

FAQs

  1. What is the purpose of laparoscopic partial splenectomy?
  2. What were the outcomes of the laparoscopic partial splenectomy study conducted from April 2017 to February 2020?
  3. What are the benefits of laparoscopic splenic resection for benign lesions?

Doctor’s Tip

A helpful tip a doctor might tell a patient about splenectomy is to follow post-operative care instructions closely, including taking prescribed medications, attending follow-up appointments, and avoiding activities that could put strain on the surgical site. It is also important to be vigilant for signs of infection or other complications, such as fever, persistent pain, or unusual bruising, and to seek medical attention promptly if any concerning symptoms arise. Additionally, patients should be aware of the potential long-term effects of splenectomy, such as increased risk of certain infections, and discuss any concerns with their healthcare provider.

Suitable For

Patients who are typically recommended for splenectomy include those with symptomatic benign lesions such as splenic cysts or tumors. In this study, laparoscopic partial splenectomy was successfully performed in patients with these conditions, with no major complications and successful outcomes. This technique allows for spleen preservation while still effectively treating the underlying condition.

Timeline

  • Before splenectomy: The patient may experience symptoms related to the benign lesion, such as pain or discomfort in the abdomen. They may undergo diagnostic tests such as imaging studies to identify the lesion and determine the need for surgery. The patient and their healthcare team will discuss the risks and benefits of splenectomy as a treatment option.

  • During splenectomy: The laparoscopic partial splenectomy procedure is performed successfully, with no major complications. The surgery is completed without the need for conversion to open surgery or total splenectomy. Minimal blood loss occurs during the operation and no blood transfusions are necessary. The patient’s recovery is monitored closely in the hospital, with a median stay of 4 days.

  • After splenectomy: The patient’s short-term outcome is favorable, with no post-operative transfusions required. At 1-month follow-up, the patient’s levels of Ca 19.9 and platelet count have significantly improved. There are no cases of recurrence detected during the 6-month follow-up period, indicating a successful outcome of the laparoscopic partial splenectomy. Overall, laparoscopic splenic resection for benign lesions is shown to be a feasible and effective procedure that combines the advantages of minimally invasive surgery and spleen preservation.

What to Ask Your Doctor

  1. What are the reasons for considering a splenectomy in my case?
  2. What are the potential risks and complications of a splenectomy procedure?
  3. Will I need any additional tests or evaluations before the surgery?
  4. What is the expected recovery time and post-operative care for a splenectomy?
  5. How will a splenectomy affect my immune system and overall health in the long term?
  6. Are there alternative treatments or procedures that could be considered instead of a splenectomy?
  7. Will I need any vaccinations or medications to prevent infections after the surgery?
  8. How often will I need follow-up appointments or monitoring after the splenectomy?
  9. What is the likelihood of experiencing a recurrence of my symptoms or condition after the surgery?
  10. Are there any lifestyle changes or restrictions I should be aware of following a splenectomy?

Reference

Authors: Fedele S, Bizzoca C, Aquilino F, Vincenti L. Journal: Updates Surg. 2022 Jun;74(3):1153-1156. doi: 10.1007/s13304-021-01210-4. Epub 2022 Feb 12. PMID: 35149968