| Title: | Laparoscopic partial splenectomy for splenic lymphangioma : a case report |
| Authors: | Kimura, Kotaro Browse this author |
| Kurashima, Yo Browse this author →KAKEN DB |
| Tanaka, Kimitaka Browse this author →KAKEN DB |
| Nakanishi, Yoshitsugu Browse this author →KAKEN DB |
| Asano, Toshimichi Browse this author →KAKEN DB |
| Ebihara, Yuma Browse this author →KAKEN DB |
| Noji, Takehiro Browse this author →KAKEN DB |
| Murakami, Soichi Browse this author →KAKEN DB |
| Nakamura, Toru Browse this author →KAKEN DB |
| Tsuchikawa, Takahiro Browse this author →KAKEN DB |
| Okamura, Keisuke Browse this author →KAKEN DB |
| Shichinohe, Toshiaki Browse this author →KAKEN DB |
| Kanno-Okada, Hiromi Browse this author |
| Hirano, Satoshi Browse this author →KAKEN DB |
| Keywords: | Laparoscopic partial splenectomy |
| Splenic benign tumor |
| Splenic lymphangioma |
| Issue Date: | 18-Jun-2020 |
| Publisher: | Springer |
| Journal Title: | Surgical case reports |
| Volume: | 6 |
| Issue: | 1 |
| Start Page: | 140 |
| Publisher DOI: | 10.1186/s40792-020-00882-1 |
| Abstract: | Background Lymphangioma is a benign malformation of the lymphatic system and is often found in the neck and axilla, the orbit, the mediastinum, etc. However, isolated splenic lymphangioma is a rare disease in young women, and its treatment is controversial. We report a case of laparoscopic partial splenectomy for isolated splenic lymphangioma in a young woman. Case presentation An 18-year-old woman with mild epigastralgia was admitted to a nearby hospital. Abdominal ultrasound detected a 6-cm mass confined to the upper pole of the spleen; thereafter, she was referred to our department for surgical treatment. Although a benign tumor, we decided to resect it because of her symptoms. To preserve part of the normal spleen, laparoscopic partial splenectomy was performed with a co-axial approach using four ports and a liver retractor in the lithotomy position. After dissection around the spleen hilum, we identified that the tumor was being fed from the splenic vessels of the upper pole and severed the branch. Postoperatively, the patient showed no complications and was discharged on postoperative day 8 without symptoms. Pathological examination revealed splenic lymphangioma, which is rare in young women. No recurrence was seen 1 year after surgery, and a computed tomography scan showed no problems with the remaining spleen. Conclusions In our experience of laparoscopic partial splenectomy for a young woman with an isolated splenic lymphangioma, we determined that laparoscopic partial splenectomy is a safe, effective, and valuable option for the treatment of benign splenic tumors. |
| Rights: | http://creativecommons.org/licenses/by/4.0/ |
| Type: | article |
| URI: | http://hdl.handle.net/2115/78979 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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