Yajian Li1, Jianhua Du2, Feiya Yang1 and Nianzeng Xing1*
1Department of Urology, Chinese Academy of Medical Sciences and Peking Union Medical College, China
2Department of Urology, Peking Union Medical College, China
The incidence of splenic aneurysms ranks third among visceral aneurysms. Once diagnosed, the splenic aneurysms should be treated properly. The majority of patients receive interventional therapy, which is difficult to preserve the spleen. We presented a case of splenic aneurysm resection and splenic artery anastomosis performed completely by laparoscopic surgery. The operation went smoothly with the spleen successfully preserved. The patient reported no discomfort or complications after the surgery. A review of intensive CT at 3 months post-operation revealed a normal spleen size and shape as well as patent blood flow at the anastomosis. Laparoscopic surgery have the advantage of exploring the entire abdominal cavity, clearly observing the situation around the aneurysm, and peeling the tumour from the splenic artery for ligation without damaging the spleen; however, laparoscopic surgery requires a skilful laparoscopic technique.
Splenic aneurysm; Laparoscopy; Splenic aneurysm resection; Splenic artery reconstruction
Li Y, Du J, Yang F, Xing N. First Report of Total Laparoscopic Splenic Aneurysm Resection and Splenic Artery Reconstruction. Clin Case Rep Int. 2022; 6: 1280.