De Pastena Matteo, Nijkamp Maarten W, van Gulik Thomas G, Busch Olivier R, Hermanides H S, Besselink Marc G
Department of Surgery, Cancer Center Amsterdam, Academic Medical Center Amsterdam, Office G4-196, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
General and Pancreatic Surgery Department, Pancreas Institute, University and Hospital Trust of Verona, Verona, Italy.
Surg Today. 2018 Jul;48(7):735-738. doi: 10.1007/s00595-018-1639-6. Epub 2018 Feb 17.
Laparoscopic splenectomy is now established as a safe and feasible procedure. However, it remains associated with some short- and long-term postoperative complications, especially infectious complications. To our knowledge, this is the first report (with video) focusing on the safety and feasibility of laparoscopic hemi-splenectomy and its surgical outcomes for the treatment of splenic abscesses causing septic emboli. This technique combines the immunological benefits of partial splenectomy and the postoperative benefits of a minimally invasive approach. Further studies are needed to standardize this technique and to assess its immunological and surgical benefits.
腹腔镜脾切除术现已被确立为一种安全可行的手术。然而，它仍与一些短期和长期术后并发症相关，尤其是感染性并发症。据我们所知，这是第一份（配有视频）聚焦于腹腔镜半脾切除术治疗导致脓毒性栓子的脾脓肿的安全性、可行性及其手术结果的报告。该技术结合了部分脾切除术的免疫学益处和微创方法的术后益处。需要进一步研究来规范该技术并评估其免疫学和手术益处。
