Laparoscopic partial splenectomy for splenic solid lesions

Objective To analyze the safety and clinical effects of laparoscopic partial splenectomy for splenic solid benign lesions. Methods Retrospective analysis was made on patients with splenic solid benign tumor admitted from Jan 2015 to Feb 2017. Results 6 patients (4 males, 2 females) underwent successful partial splenectomy for splenic tumors. Mean patient age was 44.7 years (range, 28-58 years). 5 patients were diagnosed by wellness examinations, 1 patient had abdominal discomfort. The diameter of tumors ranged from 5.0 to 8.3 cm. Tumors were located in the superior lobes in 2 cases and the others were located in the inferior lobes. The operation times were 120-240 min and intraoperative blood loss was 50-1 400 ml (mean, 375 ml). Laparoscopic procedure was successful in all patients without major complications. Postoperative pathology showed hemangioma in 5 cases and hemangioendothelioma in one patient. After 3 to 28 months follow-up no patients experienced recurrence. Conclusions Laparoscopic partial splenectomy is safe and effective in patients with focal benign splenic lesion that was located at the edge of the spleen or in the upper or lower pole of the spleen. Key words: Splenic neoplasms; Splenectomy; Laparoscopies