Robot-assisted partial splenectomy for benign splenic tumors:Four case reports  

作　　者：Hui-Min Xue Peng Chen Xiao-Jun Zhu Jing-Yi Jiao Peng Wang 

机构地区：[1]Department of General Surgery,The Affiliated Hospital of Nantong University,Nantong 226001,Jiangsu Province,China [2]Medical School,Nantong University,Nantong 226001,Jiangsu Province,China

出　　处：《World Journal of Clinical Oncology》2024年第10期1366-1375,共10页世界临床肿瘤学杂志（英文）

基　　金：Supported by Nantong“14th Five-Year”Science and Education to Strengthen Health Project,General Surgery Medical Key Discipline,No.42.

摘　　要：BACKGROUND Robotic-assisted partial splenectomy(RAPS)is a superior approach for treating splenic cysts and splenic hemangiomas,as it preserves the immune function of the spleen and reduces the risk of overwhelming post splenectomy infection.Curren-tly,there are no standardized guidelines for performing a partial splenectomy.CASE SUMMARY Four patients with splenic cysts or splenic hemangiomas were treated by RAPS.Critical aspects with RAPS include carefully dissecting the splenic pedicle,accurately identifying and ligating the supplying vessels of the targeted segment,and ensuring precise hemostasis during splenic parenchymal transection.Four successful RAPS cases are presented,where the tumors were removed by pret-reating the splenic artery,dissecting and ligating the corresponding segmental vessels of the splenic pedicle,transecting the ischemic segment of the spleen,and using electrocautery for optimal hemostasis.Four patients underwent successful surgeries with minimal bleeding during the procedure,and there were no signs of bleeding or recurrence postoperatively.CONCLUSION Four cases confirm the feasibility and superiority of RAPS for the treatment of benign splenic tumors.

关 键 词：Partial splenectomy Robotic-assisted partial splenectomy Splenic cyst Splenic hemangiomas Case report 

分 类 号：R733.2[医药卫生—肿瘤]