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Partial splenectomy: A case series and systematic review of the literature
BACKGROUNDS/AIMS: Partial splenectomy (PS) is a surgical option for splenic mass, in order to reduce postoperative complications and preserve the splenic function. Despite this, data in literature is still scarce. The present study aimed to reveal our recent experience and provide a comprehensive ov...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Association of Hepato-Biliary-Pancreatic Surgery
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981141/ https://www.ncbi.nlm.nih.gov/pubmed/29896572 http://dx.doi.org/10.14701/ahbps.2018.22.2.116 |
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author | Esposito, Francesco Noviello, Adele Moles, Nicola Cantore, Nicola Baiamonte, Mario Coppola Bottazzi, Enrico Miro, Antonio Crafa, Francesco |
author_facet | Esposito, Francesco Noviello, Adele Moles, Nicola Cantore, Nicola Baiamonte, Mario Coppola Bottazzi, Enrico Miro, Antonio Crafa, Francesco |
author_sort | Esposito, Francesco |
collection | PubMed |
description | BACKGROUNDS/AIMS: Partial splenectomy (PS) is a surgical option for splenic mass, in order to reduce postoperative complications and preserve the splenic function. Despite this, data in literature is still scarce. The present study aimed to reveal our recent experience and provide a comprehensive overview of the feasibility and complications related to various surgical approaches. METHODS: Data of patients who underwent PS, between 2014 and 2017 were retrospectively reviewed. Literature was searched for studies reporting all types of PS in adult or adolescent patients. RESULTS: Five PS were performed in our department: two (40%) by laparoscopy and three (60%) by laparotomy. Two (40%) postoperative complications were detected, and in one of them, total splenectomy (TS) by laparotomy was finally required. There were no deaths or complications at last follow-up. Twenty studies including 213 patients were identified in the literature search. The rate of conversion from laparoscopic to open surgery was 3% (range, 5–50%) and in 3% of cases (range, 7–10%) PS was converted into total TS and the overall morbidity rate was 8% (range, 5–25%). In comparison to laparotomy, the conversion rate of laparoscopic approach to TS was 3.5% (vs. 1.4%) and a morbidity rate of 9.8% (vs. 4.3%). CONCLUSIONS: The present review shows that PS is a viable procedure in selected cases. The mini-invasive approach seemed to be feasible despite the presence of higher rate of complications than the open technique. In future, further studies on this topic are needed by involving more patients. Furthermore, it is proposed that the development of robotic surgery could make this approach the new gold-standard technique for spleen-preserving surgery. |
format | Online Article Text |
id | pubmed-5981141 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Korean Association of Hepato-Biliary-Pancreatic Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-59811412018-06-12 Partial splenectomy: A case series and systematic review of the literature Esposito, Francesco Noviello, Adele Moles, Nicola Cantore, Nicola Baiamonte, Mario Coppola Bottazzi, Enrico Miro, Antonio Crafa, Francesco Ann Hepatobiliary Pancreat Surg Original Article BACKGROUNDS/AIMS: Partial splenectomy (PS) is a surgical option for splenic mass, in order to reduce postoperative complications and preserve the splenic function. Despite this, data in literature is still scarce. The present study aimed to reveal our recent experience and provide a comprehensive overview of the feasibility and complications related to various surgical approaches. METHODS: Data of patients who underwent PS, between 2014 and 2017 were retrospectively reviewed. Literature was searched for studies reporting all types of PS in adult or adolescent patients. RESULTS: Five PS were performed in our department: two (40%) by laparoscopy and three (60%) by laparotomy. Two (40%) postoperative complications were detected, and in one of them, total splenectomy (TS) by laparotomy was finally required. There were no deaths or complications at last follow-up. Twenty studies including 213 patients were identified in the literature search. The rate of conversion from laparoscopic to open surgery was 3% (range, 5–50%) and in 3% of cases (range, 7–10%) PS was converted into total TS and the overall morbidity rate was 8% (range, 5–25%). In comparison to laparotomy, the conversion rate of laparoscopic approach to TS was 3.5% (vs. 1.4%) and a morbidity rate of 9.8% (vs. 4.3%). CONCLUSIONS: The present review shows that PS is a viable procedure in selected cases. The mini-invasive approach seemed to be feasible despite the presence of higher rate of complications than the open technique. In future, further studies on this topic are needed by involving more patients. Furthermore, it is proposed that the development of robotic surgery could make this approach the new gold-standard technique for spleen-preserving surgery. Korean Association of Hepato-Biliary-Pancreatic Surgery 2018-05 2018-05-30 /pmc/articles/PMC5981141/ /pubmed/29896572 http://dx.doi.org/10.14701/ahbps.2018.22.2.116 Text en Copyright © 2018 by The Korean Association of Hepato-Biliary-Pancreatic Surgery http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Esposito, Francesco Noviello, Adele Moles, Nicola Cantore, Nicola Baiamonte, Mario Coppola Bottazzi, Enrico Miro, Antonio Crafa, Francesco Partial splenectomy: A case series and systematic review of the literature |
title | Partial splenectomy: A case series and systematic review of the literature |
title_full | Partial splenectomy: A case series and systematic review of the literature |
title_fullStr | Partial splenectomy: A case series and systematic review of the literature |
title_full_unstemmed | Partial splenectomy: A case series and systematic review of the literature |
title_short | Partial splenectomy: A case series and systematic review of the literature |
title_sort | partial splenectomy: a case series and systematic review of the literature |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981141/ https://www.ncbi.nlm.nih.gov/pubmed/29896572 http://dx.doi.org/10.14701/ahbps.2018.22.2.116 |
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