Tang Ran, Wei De-Cheng, Zhou Cheng-Xiao, Li Zhong-Ce, Bian Jian, Qi Shi-Qin
Department of Pediatric Surgery, Anhui Provincial Children's Hospital, Hefei, China.
Front Pediatr. 2025 Jul 22;13:1633940. doi: 10.3389/fped.2025.1633940. eCollection 2025.
The indications for laparoscopic partial splenectomy (LPS) in pediatric benign splenic tumors are well established, but concerns remain regarding its technical complexity and potential complications. This study aimed to evaluate the safety and outcomes of single-incision LPS (SILPS).
A retrospective analysis was conducted on 22 children who underwent SILPS from July 2021 to April 2024, compared with 25 patients who received laparoscopic total splenectomy (TS). Clinical characteristics, operative details, and postoperative outcomes were assessed.
SILPS patients had comparable operative time, blood loss, and hospital stay to those in the TS group. However, SILPS was associated with significantly lower rates of postoperative thrombocytosis and leukocytosis. No major perioperative complications were observed.
SILPS is a safe and effective spleen-preserving technique for pediatric benign splenic tumors, offering reduced hematologic complications without increasing surgical risks. It is technically demanding and requires experienced laparoscopic skills and proper patient selection.
腹腔镜下部分脾切除术（LPS）在小儿良性脾脏肿瘤中的应用指征已得到充分确立，但对于其技术复杂性和潜在并发症仍存在担忧。本研究旨在评估单孔腹腔镜下部分脾切除术（SILPS）的安全性和疗效。
对2021年7月至2024年4月期间接受SILPS的22例儿童进行回顾性分析，并与25例接受腹腔镜全脾切除术（TS）的患者进行比较。评估临床特征、手术细节和术后结果。
SILPS患者的手术时间、失血量和住院时间与TS组相当。然而，SILPS术后血小板增多症和白细胞增多症的发生率显著较低。未观察到重大围手术期并发症。
SILPS是一种安全有效的小儿良性脾脏肿瘤保脾技术，可减少血液学并发症，且不增加手术风险。该技术要求较高，需要有经验的腹腔镜技术和合适的患者选择。
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