Nous utilisons des cookies afin de vous garantir une navigation optimale sur notre site. En poursuivant votre navigation sur ce site, vous acceptez de fait l'utilisation de cookies.

Vous devez être connecté pour voir la vidéo. Cliquez ici pour vous connecter, ou ici pour vous inscrire gratuitement !

  • 987
  • 20/06/2019

Subtotal laparoscopic splenectomy for hemolytic disorders in a 5-year-old girl

Epublication WebSurg.com, Jun 2019;19(06). URL:
Vous devez être connecté pour poser une question aux auteurs. Cliquez ici pour vous connecter, ou ici pour vous inscrire gratuitement !
In case of hemolytic disease, subtotal splenectomy is an alternative to total splenectomy, the efficacy of which has been evidenced in the literature (Inter J Surg 2010;8:48-51). This procedure is particularly relevant in young children as it precludes risks of infection related to total splenectomy. Subtotal splenectomy should reduce the size of the splenic parenchyma by 80% in order to prevent recurrence and completion surgery in the short term. In 2008, we had already reported a first multicentric study on subtotal splenectomy (Surg Endosc 2008;22:45-9). Technically, it is interesting to have access to an inconstant artery draining the superior pole of the spleen, which is then left in place (Surg Endosc 2006;21:1678). When this artery is not present, the superior pole of the spleen will be preserved as it is vascularized by one or two short vessels of the gastrosplenic omentum.