Xue Hui-Min, Chen Peng, Zhu Xiao-Jun, Jiao Jing-Yi, Wang Peng
Department of General Surgery, The Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China.
Medical School, Nantong University, Nantong 226001, Jiangsu Province, China.
World J Clin Oncol. 2024 Oct 24;15(10):1366-1375. doi: 10.5306/wjco.v15.i10.1366.
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. Currently, there are no standardized guidelines for performing a partial splenectomy.
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 pretreating 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.
Four cases confirm the feasibility and superiority of RAPS for the treatment of benign splenic tumors.
机器人辅助部分脾切除术（RAPS）是治疗脾囊肿和脾血管瘤的一种优越方法，因为它保留了脾脏的免疫功能并降低了脾切除术后暴发性感染的风险。目前，尚无进行部分脾切除术的标准化指南。
4例脾囊肿或脾血管瘤患者接受了RAPS治疗。RAPS的关键环节包括仔细解剖脾蒂、准确识别并结扎目标节段的供血血管，以及在脾实质横断过程中确保精确止血。本文展示了4例成功的RAPS病例，通过预处理脾动脉、解剖并结扎脾蒂相应节段血管、横断脾脏缺血节段以及使用电灼实现最佳止血来切除肿瘤。4例患者手术均成功，术中出血极少，术后无出血或复发迹象。
4例病例证实了RAPS治疗良性脾肿瘤的可行性和优越性。
