Martínez-Ferro Marcelo, Elmo Gastón, Laje Pablo
Division of Pediatric Surgery, National Pediatric Hospital "Juan P. Garrahan," B1636 DIK Buenos Aires, Argentina.
J Pediatr Surg. 2005 May;40(5):882-4. doi: 10.1016/j.jpedsurg.2005.02.009.
Wandering spleen is a very uncommon condition. Because of the risk of pedicle torsion and splenic ischemia, severe consequences may occur if not diagnosed and treated in time. Unfortunately, splenectomy is sometimes necessary (ie, when splenic infarction occurs). Once the diagnosis of wandering spleen is made, splenopexy is the treatment of choice. There are numerous techniques designed for splenopexy, either by open surgery or by minimally invasive approaches. We describe here a laparoscopic procedure that allows an excellent fixation of the spleen using the patient's own tissues. After a 2-year follow-up, the organ remains in place with good perfusion.
游走脾是一种非常罕见的病症。由于存在脾蒂扭转和脾缺血的风险，如果不及时诊断和治疗，可能会产生严重后果。不幸的是，有时需要进行脾切除术（例如，当发生脾梗死时）。一旦诊断为游走脾，脾固定术是首选的治疗方法。有许多针对脾固定术设计的技术，既可以通过开放手术，也可以通过微创方法。我们在此描述一种腹腔镜手术，该手术能够利用患者自身组织对脾脏进行良好的固定。经过2年的随访，该器官仍处于原位，灌注良好。
