2025, Number 1-4
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Rev Mex Cir Endoscop 2025; 26 (1-4)
Hand assisted splenectomy for the treatment of diffuse lymphangioma. Case report
Cázares-Montañez JE, Iturbide-Mauricio L, Guerrero-Mercado A, Cabrera-Martínez U, Domínguez-Cabrera G
Language: Spanish
References: 21
Page: 34-38
PDF size: 1751.57 Kb.
ABSTRACT
Introduction: splenic lymphangioma is a benign malformation, which rarely involves visceral organs. The etiology is usually idiopathic and it usually presents asymptomatically, however it can generate symptoms secondary to its large size. This case is interesting because of its infrequency of presentation and highlights the usefulness of hand-assisted laparoscopic approaches.
Case report: we present the case of a 27-year-old female patient with abdominal pain secondary to splenomegaly who was managed by hand-assisted laparoscopic approach and had a favorable evolution. Histopathologic findings showed diffuse splenic lymphangioma.
Conclusions: diffuse splenic lymphangioma is a rare entity in adults. In this clinical case with splenomegaly due to diffuse lymphangioma, the hand-assisted laparoscopic approach favored the surgical resolution of the patient without morbidity and mortality eventualities.
REFERENCES
Al-Shaikh SA, Mubarak AM, Harb ZF. Splenic lymphangioma in an adult. Saudi Medical Journal. 2017; 38: 1148-1152. Available in: https://doi.org/10.15537/smj.2017.11.20625
Barbaros U, Deveci U, Ozlük Y, Tiriyaki B, Erbil Y, Dinccag A et al. Laparoscopic treatment of splenic lymphangiomas: report of three cases. G Chir. 2007; 28: 403-406.
Dudi-Venkata NN, Houli N, Weinberg L, Nikfarjam M. Laparoscopic partial splenectomy performed by monopolar saline-cooled radiofrequency coagulation. J Laparoendosc Adv Surg Tech A. 2014; 24: 502-505. Available in: https://doi.org/10.1089/lap.2014.0143
Efared B, Bako ABA, Younssa H, Boubacar I, Zabeirou A, Koura HH et al. Splenic lymphangiomas as a common indication for splenectomy: a case series with literature review. BMC Surg. 2022; 22: 446. Available in: https://doi.org/10.1186/s12893-022-01898-0
Giovagnoni A, Giorgi C, Goteri G. Tumours of the spleen. Cancer Imaging. 2005; 5: 73-77. doi: 10.1102/1470-7330.2005.0002.
Li Y, Tian Y, Meng L, Cai H, Wang X, Cai Y et al. The safety and feasibility of laparoscopic partial splenectomy: analysis of perioperative indications from different vascular subtypes and improvement of surgical approach. Surg Endosc. 2024; 38: 7329-7340. doi: 10.1007/s00464-024-11270-3. Epub 2024 Oct 21. Erratum in: Surg Endosc. 2025 Mar 25. Available in: https://doi.org/10.1007/s00464-024-11270-3
Lima M, Reinberg O, Ruggeri G, De Buys Roessingh AS, Gargano T, Soler L et al. 3D virtual rendering before laparoscopic partial splenectomy in children. J Pediatr Surg. 2013; 48: 1784-1788. Available in: https://doi.org/10.1016/j.jpedsurg.2013.06.011
Sangiorgio VFI, Arber DA. Vascular neoplasms and non-neoplastic vascular lesions of the spleen. Semin Diagn Pathol. 2021; 38: 154-158. Available in: https://doi.org/10.1053/j.semdp.2020.07.001
Schilling RF. Spherocytosis, splenectomy, strokes, and heat attacks. Lancet. 1997; 350: 1677-1678. Available in: https://doi.org/10.1016/S0140-6736(05)64276-6
Shi R, Yang P, Guo Y, Tang Y, Luo H, Qin C et al. Laparoscopic anatomical partial splenectomy for extremely rare isolated splenic lymphangioma in an adult: a case report and literature review. Front Oncol. 2024; 14: 1460566. Available in: https://doi.org/10.3389/fonc.2024.1460566
Uranüs S, Kronberger L, Kraft-Kine J. Partial splenic resection using the TA-stapler. Am J Surg. 1994; 168: 49-53. Available in: https://doi.org/10.1016/S0002-9610(05)80070-4
Wang WD, Lin J, Wu ZQ, Liu QB, Ma J, Chen XW. Partial splenectomy using a laparoscopic bipolar radiofrequency device: a case report. World J Gastroenterol. 2015; 21: 3420-3424. Available in: https://doi.org/10.3748/wjg.v21.i11.3420
Yang F, Chen WX. Splenic lymphangioma that manifested as a solid-cystic mass: a case report. World J Gastroenterol. 2013; 19: 781-783. Available in: https://doi.org/10.3748/wjg.v19.i5.781
Zhang Y, Chen XM, Sun DL, Yang C. Treatment of hemolymphangioma of the spleen by laparoscopic partial splenectomy: a case report. World J Surg Oncol. 2014; 12: 60. Available in: https://doi.org/10.1186/1477-7819-12-60
Zhou Z, Zhou J, Wu Z, Peng B. Laparoscopic splenectomy for adult lymphangiomas of the spleen: case series and review of literature. Hepatogastroenterology. 2014; 61: 285-290.
Rosen M, Brody F, Walsh RM, Ponsky J. Hand-assisted laparoscopic splenectomy vs conventional laparoscopic splenectomy in cases of splenomegaly. Arch Surg. 2002; 137: 1348-1352.
Morelli L, Di Franco G, Guadagni S, Rossi L, Palmeri M, Furbetta N et al. Robot-assisted total mesorectal excision for rectal cancer: case-matched comparison of short-term surgical and functional outcomes between the da Vinci Xi and Si. Surg Endosc. 2018; 32: 589-600.
Pietrabissa A, Morelli L, Peri A, Pugliese L, Zonta S, Dionigi P et al. Laparoscopic treatment of splenomegaly: a case for hand-assisted laparoscopic surgery. Arch Surg. 2011; 146: 818-823.
Dai LH, Xu B, Zhu GH. Hand-assisted laparoscopic surgery of abdominal large visceral organs. World J Gastroenterol. 2006; 12: 4736-4740.
Di Franco G, Gianardi D, Bianchini M, Palmeri M, Morelli L. The role of hand-assisted laparoscopic splenectomy for mega spleens in the da Vinci era. J Robot Surg. 2019; 13: 791-792.
Altaf AM, Ellsmere J, Jaap Bonjer H, El-Ghazaly TH, Klassen DR. Morbidity of hand-assisted laparoscopic splenectomy compared to conventional laparoscopic splenectomy: a 6-year review. Can J Surg. 2012; 55: 227-232.