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J Clin Med 2022 Jun 7;11(12). Epub 2022 Jun 7.

Department of Surgery, Jichi Medical University, Shimotsuke 329-0498, Tochigi, Japan.

Hepatic surgery is a rapidly expanding component of abdominal surgery and is performed for a wide range of indications. The introduction of laparoscopic cholecystectomy in 1987 was a major change in abdominal surgery. Laparoscopic surgery was widely and rapidly adopted throughout the world for cholecystectomy initially and then applied to a variety of other procedures. Read More

Wideochir Inne Tech Maloinwazyjne 2022 Jun 16;17(2):338-343. Epub 2022 Mar 16.

Department of Hepatobiliary Surgery, People's Hospital of Zhengzhou University, Henan Provincial People's Hospital, Zhengzhou, China.

Introduction: Laparoscopy splenectomy has been a preferred choice over open surgery, but limited studies dealing with laparoscopy splenectomy plus pericardial devascularization (LSPD) for elderly patients are available.

Aim: To assess the safety and long-term efficacy of spleen bed LSPD for elderly patients with portal hypertension.

Material And Methods: A total of 132 elderly patients (age > 60 years) suffering from portal hypertension were operated on in the department. Read More

Wideochir Inne Tech Maloinwazyjne 2022 Jun 19;17(2):326-337. Epub 2022 Jan 19.

Department of General Surgery, TangDu Hospital, Fourth Military Medical University, Xi'an, Shannxi Province, China.

Introduction: Laparoscopic splenectomy and esophagogastric devascularization (LSED) is becoming increasingly popular in the treatment of esophageal-fundic variceal bleeding with portal hypertension (PHT) in China, and its high safety and minimal trauma have been proven. Fast-track (FT) surgery improves patient recovery and decreases postoperative complications.

Aim: To determine whether LSED with fast-track principles can provide better outcomes than traditional treatment for patients with PHT. Read More

Rev Esp Enferm Dig 2022 Jun 15. Epub 2022 Jun 15.

Radiology, Binzhou Medical University, China.

A 18-year-old man presented with multiple asymptomatic masses in the spleen that had been detected on ultrasonography performed during a physical screening. He had no history of tuberculosis, and was otherwise well. Abdominal MR demonstrated multiple masses with internal stellate scars, which appeared as marked hypointensity on T2WI and contrast-enhanced MR. Read More

Surg Endosc 2022 Jun 13. Epub 2022 Jun 13.

Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.

Background: Robotic surgery may be advantageous for complex surgery. We aimed to compare the intraoperative and postoperative short-term outcomes of spleen-preserving splenic hilar lymphadenectomy (SPSHL) during robotic and laparoscopic total gastrectomy.

Methods: From July 2016 to December 2020, the clinicopathological data of 115 patients who underwent robotic total gastrectomy combined with robotic SPSHL (RSPSHL) and 697 patients who underwent laparoscopic total gastrectomy combined with laparoscopic SPSHL (LSPSHL) were retrospectively analyzed. Read More

Obes Surg 2022 Jun 10. Epub 2022 Jun 10.

Department of Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.

Introduction: Severe adhesions in patients with previous abdominal operations may lead to a more challenging subsequent bariatric surgery [1, 2]. In this context, sleeve gastrectomy (SG) is the preferred weight loss surgery since it solely involves stomach resection (without bowel involvement) in one abdominal compartment. Additionally, SG has lower complication rates and a shorter operative time than other bariatric procedures [3, 4]. Read More

J Gastrointest Surg 2022 Jun 8. Epub 2022 Jun 8.

Department of Hepatobiliary Surgery, Clinical Medical College, Yangzhou University, 98 West Nantong Rd, Yangzhou, 225000, China.

Background: Esophagogastric variceal bleeding is the most common lethal factor for patients with cirrhotic portal hypertension. We firstly developed a laparoscopic splenectomy and azygoportal disconnection (LSD) with intraoperative endoscopic variceal ligation (LSDL) technique. In this study, we aimed to evaluate whether LSDL is feasible and safe and whether LSDL can effectively prevent esophagogastric variceal re-bleeding (EVR), as compared with single LSD. Read More

Zhonghua Wai Ke Za Zhi 2022 Jun;60(6):509-516

Laparoscopic esophagogastric devascularization has the advantages of less trauma, less bleeding and faster recovery.In order to promote this technology in a scientific and standardized manner and to guide clinical practice, the Chinese Society of Spleen and Portal Hypertension Surgery, Chinese Medical Association, discussed and composed the "Chinese expert consensus for laparoscopic esophagogastric devascularization（2021）".This consensus adheres to the standardization and minimally invasive principles of surgical treatment of portal hypertension, and elaborates the surgical indications and contraindications, preoperative evaluation, surgical technical points and precautions, postoperative management and common complications, especially the prevention and treatment of portal vein thrombosis. Read More

JSLS 2022 Apr-Jun;26(2)

Ascension Providence Southfield, Southfield, MI.

Laparoscopic distal pancreatectomy is now accepted treatment for benign and certain malignant pancreatic body and/or tail processes and is generally performed using four to six ports. Splenic preservation avoids inherent risks associated with the post-splenectomy state, but adds surgical complexity. In this case series, we describe our single surgeon's experience with a novel technique for safe, successful three-port laparoscopic spleen-preserving distal pancreatectomy with splenic vessel preservation. Read More

Children (Basel) 2022 Apr 24;9(5). Epub 2022 Apr 24.

Department of Pediatric Surgery, University Medical Center Hamburg-Eppendorf (UKE), 20246 Hamburg, Germany.

The aim of this paper is to assess the effectiveness and perioperative complications of splenic surgeries in children. In 41 splenectomies, an anterior abdominal laparoscopic approach was used, with 35 including a partial laparoscopic splenectomy. Of these, three needed a conversion to open. Read More

Yonsei Med J 2022 Jun;63(6):564-569

Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.

Purpose: In the past, spleen preservation during distal pancreatectomy (DP) was preferred; however, more recent studies reported comparable results between splenectomy and spleen preserving. We retrospectively reviewed patients in a single center who underwent laparoscopic DP with/without splenectomy, and evaluated the chronologic changes of surgical outcomes of the two procedures.

Materials And Methods: Patients who underwent laparoscopic DP with or without splenectomy due to benign/borderline tumor from 2005 to 2019 were included in this study. Read More

J Laparoendosc Adv Surg Tech A 2022 May 26. Epub 2022 May 26.

Department of Pediatric General Surgery, Children's Hospital, Chongqing Medical University, Chongqing, P.R. China.

The hand-assisted laparoscopic splenectomy (HALS) approach overcomes the difficulties experienced with conventional laparoscopic splenectomy (LS) with added advantages. In this study, we compared the HALS technique with standard LS based on the feasibility and intermediate postoperative outcomes in pediatric patients. We retrospectively investigated pediatric patients who underwent HALS or LS from October 2013 to May 2021 at the Children's Hospital, Chongqing Medical University. Read More

Int J Surg Case Rep 2022 Jun 16;95:107201. Epub 2022 May 16.

Department of Pathology, Fattouma Bourguiba University Hospital, Monastir 5000, Tunisia; Faculty of Medicine, University of Monastir, Monastir 5000, Tunisia.

Introduction And Importance: Splenic cysts are infrequent and most of them are related to parasitic diseases. Splenic epithelial cyst (SEC) is the most common type of primary non-parasitic splenic cysts. Its pathogenesis is not yet clear. Read More

Comput Math Methods Med 2022 9;2022:1224916. Epub 2022 May 9.

The Second Affiliated Hospital of Xuzhou Medical College, Hepatobiliary Pancreatic Surgery, 221000, China.

Objective: In order to investigate the clinical effect of side entry laparoscopic splenectomy in the treatment of splenomegaly caused by neurodegenerative diseases.

Methods: 62 patients who underwent endoscopic splenectomy in our hospital from July 2020 to June 2021 were randomly divided into two groups, including 3 cases in the observation group and 31 cases in the reference group. Clinical trials were conducted to compare different laparoscopic surgery methods, and follow-up investigation records were made; the drainage time and drainage volume, postoperative bleeding volume, postoperative complications, and comprehensive effective rate of the two groups were observed and analyzed. Read More

Surg Laparosc Endosc Percutan Tech 2022 May 18. Epub 2022 May 18.

Department of Surgery, Nara Medical University, Nara, Japan.

Background: Comparative studies regarding single-incision laparoscopic distal pancreatectomy (SILS-DP) are limited. This study aimed to compare the short-term outcomes of SILS-DP with conventional laparoscopic DP (C-LDP) under strict indication criteria.

Materials And Methods: We retrospectively reviewed the patient characteristics and surgical outcomes of those who underwent either SILS-DP or C-LDP at National Taiwan University (NTU) and C-LDP at Nara Medical University (NMU) between 2009 and 2019. Read More

Surg Laparosc Endosc Percutan Tech 2022 May 9. Epub 2022 May 9.

Department of Public Health, School of Medicine and Surgery.

Background: Although the laparoscopic approach is considered the gold standard for elective splenectomy, it is still debated whether the underlying disease affects postoperative outcomes. Given the importance of good patient selection in the early stages of the learning curve for laparoscopic splenectomy (LS), this study aimed to compare the postoperative outcomes following LS for malignant diseases and benign diseases (MDs and BDs).

Materials And Methods: A retrospective review of patients who underwent LS was performed at 2 different institutions between January 2013 and September 2020. Read More

Int J Surg 2022 Jul 13;103:106676. Epub 2022 May 13.

Department of Hepatobiliary Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China. Electronic address:

Background: Laparoscopic radical antegrade modular pancreatosplenectomy (l-RAMPS) provides a new surgical approach for patients with pancreatic cancers of the body and tail. However, whether it can achieve comparable outcomes to the open RAMPS (o-RAMPS) remains an issue.

Methods: To evaluate the safety and effectiveness of l-RAMPS, the studies in the databases of Medline, Embase, and the Cochrane Library published before September 13, 2021 were searched and a meta-analysis was performed using the 2020 Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guideline. Read More

Abdom Radiol (NY) 2022 Jun 4;47(6):1912-1916. Epub 2022 May 4.

Department of Radiology, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan.

An 81-year-old woman who had undergone total thyroidectomy for papillary thyroid cancer 12 years earlier was found to have a tumor in the tail of the pancreas. Four years earlier, skin, lung, and mediastinal lymph node metastases had appeared. Computed tomography (CT) showed a mass 26 mm in diameter in the tail of the pancreas. Read More

J Am Vet Med Assoc 2022 Apr 27:1-7. Epub 2022 Apr 27.

1Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Canada.

Objective: To report the perioperative characteristics and outcomes of dogs undergoing laparoscopic-assisted splenectomy (LAS).

Animals: 136 client-owned dogs.

Procedures: Multicentric retrospective study. Read More

Int J Surg Case Rep 2022 Apr 2;93:107023. Epub 2022 Apr 2.

Department of Surgery, Atago Hospital, Kochi, Japan.

Introduction And Importance: Splenic tumors are rare and are sometimes found incidentally. In such cases, laboratory tests and imaging studies should be performed based on the diagnostic algorithm to determine whether the tumor is benign or malignant. However, we clinicians sometimes encounter challenging cases. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2022 Apr;25(4):284-289

Department of Gastric Cancer, National Clinical Research Center for Cancer, Tianjin Key Laboratory of Cancer Prevention and Treatment, Cancer Hospital, Tianjin Medical University, Tianjin 300060, China.

The standard lymphadenectomy (D2) is the most important quality control index for the surgical treatment of locally advanced gastric cancer (LAGC). It is debatable whether there is a survival benefit of extended lymphadenectomy beyond D2 dissection. Para-aortic lymph nodes are not included in the range of D2 lymph node dissection. Read More

Gan To Kagaku Ryoho 2022 Apr;49(4):459-461

Dept. of Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center.

We report a case of sclerosing angiomatoid nodular transformation(SANT)5 years after remission of diffuse large B-cell lymphoma(DLBCL). A 64-year-old woman was diagnosed a nodular mass at the spleen by a contrast-enhanced CT scan 5 years after the relief for DLBCL. The mass showed accumulation of FDG. Read More

Gan To Kagaku Ryoho 2022 Apr;49(4):441-443

Dept. of Surgery, Soka Municipal Hospital.

An 82-year-old woman presented to our hospital with chief complaints of lower abdominal pain and nausea. Contrast- enhanced CT showed ileus of sigmoid colon cancer and a solitary splenic tumor. A metallic stent was placed for the primary lesion. Read More

World J Gastrointest Surg 2022 Mar;14(3):260-267

Department of Digestive and Transplantation Surgery, Tokyo Medical University Hachioji Medical Center, Tokyo 1930998, Japan.

Background: Hepatocellular carcinoma (HCC) with massive portal vein tumor thrombosis (PVTT) and distant metastasis is considered unresectable. However, due to recent developments in systemic chemotherapy, successful cases of conversion therapy for unresectable diseases have been reported. Herein, we report a successful multidisciplinary approach for treatment of multi-visceral recurrence with sequential multikinase inhibitor and laparoscopic surgery. Read More

BMC Surg 2022 Apr 9;22(1):136. Epub 2022 Apr 9.

Department of Hepatobiliary Surgery, Wenzhou Central Hospital, The Dingli Clinical Institute of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, People's Republic of China.

Background: Hereditary spherocytosis (HS) complicated by splenic infarction is very rare, and it is even rarer to develop splenic infarction after infectious mononucleosis (IM) as a result of Epstein-Barr virus (EBV) infection. Therefore, misdiagnosis or missed diagnosis is prone to occur.

Case Presentation: A 19-year-old Chinese female previously diagnosed with HS was admitted to our institution with persistent high fever and icterus. Read More

Cureus 2022 Mar 3;14(3):e22799. Epub 2022 Mar 3.

General Surgery, Ross University School of Medicine, Atlanta, USA.

Primary splenic epidermal cysts, a type I splenic lesion, are very uncommon and usually found coincidentally. In this report, we present a primary splenic epidermal cyst that presented as a mass in the left upper quadrant associated with sharp pain, early satiety, and constipation. We review the classification of splenic cysts with a detailed look into the causes and types of type I cysts. Read More

Cureus 2022 Feb 24;14(2):e22582. Epub 2022 Feb 24.

Medicine, King Faisal University, Al-Ahsa, SAU.

Nontraumatic splenic rupture and hematoma are rare in sickle cell disease. We present a case of a 22-year-old Saudi male with sickle cell disease. He presented to our hospital with a history of nontraumatic abdominal pain, hemodynamic instability, and abdominal tenderness, with a large mass extending to the umbilicus. Read More

J Surg Case Rep 2022 Mar 30;2022(3):rjac079. Epub 2022 Mar 30.

Department of Visceral Surgery, Kantonsspital Aarau, Aarau, Switzerland.

Abdominal tuberculosis (TB) can affect any organ of the gastrointestinal tract, and as a result of its unspecific symptoms, it may even mimic neoplasia. Rare manifestations are difficult to detect even for the trained eye and require clinical suspicion. We report rare cases of a mechanical ileus due to peritoneal TB in a 41-year-old man and an isolated peripancreatic infection in a 54-year-old woman. Read More

Int J Surg Case Rep 2022 Apr 29;93:106991. Epub 2022 Mar 29.

Klinik für Allgemein-, Viszeral-, Gefäss- und Thoraxchirurgie, Kantonsspital Baselland, Liestal, Switzerland.

Introduction: Splenic cysts are rare. They are usually incidentally diagnosed and there is no harmonised treatment pathway. We report a case of a large splenic epidermoid type cyst without history of previous abdominal trauma. Read More

Cureus 2022 Feb 25;14(2):e22597. Epub 2022 Feb 25.

Gastrointestinal Surgery, Yeditepe University Medical School, Istanbul, TUR.

Wandering spleen (WS) is a rare disease caused by the looseness of the splenic ligaments. A 29-year-old female patient presented to the emergency department with complaints of abdominal pain and a palpable mass in the abdomen. A diagnosis of WS was made as a result of preoperative imaging. Read More