Splenic artery aneurysms: Methods of laparoscopic repair

Purpose: Surgical therapy for splenic artery aneurysms (SAAs) has traditionally consisted of a laparotomy with resection of the aneurysm and possibly a splenectomy. Our early experience with the laparoscopic approach to treat SAAs is reported. Methods: A retrospective review of medical records was c...

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Bibliographic Details
Published in:Journal of vascular surgery 1999-07, Vol.30 (1), p.184-188
Main Authors: Arca, Marjorie J., Gagner, Michel, Heniford, B.Todd, Sullivan, Timothy M., Beven, Edward G.
Format: Article
Language:English
Subjects:
Aneurysm - surgery
Biological and medical sciences
Female
Humans
Laparoscopy - methods
Ligation - methods
Male
Medical sciences
Middle Aged
Retrospective Studies
Splenectomy - methods
Splenic Artery - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Time Factors
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Summary:Purpose: Surgical therapy for splenic artery aneurysms (SAAs) has traditionally consisted of a laparotomy with resection of the aneurysm and possibly a splenectomy. Our early experience with the laparoscopic approach to treat SAAs is reported. Methods: A retrospective review of medical records was conducted on all patients who underwent laparoscopic resection of SAAs at the Cleveland Clinic Foundation from May 1996 to August 1997. Results: Four patients with SAAs, three women and one man, with an average age of 55 years (range, 37 to 63 years), underwent successful laparoscopic SAA repair. The average size of the aneurysm was 3.2 cm (range, 2.5 to 5.0 cm). Three patients underwent an aneurysm resection, whereas one patient underwent simple ligation. Intraoperative ultrasound scanning with Doppler was used in three cases as a means of localizing the aneurysm and identifying all feeding vessels; the complete cessation of flow within the aneurysm in the case in which the feeding vessels were simply ligated was also documented. The average intraoperative time was 150 minutes (range, 100 to 190 minutes). The mean estimated blood loss was 105 mL (range, 20 to 300 mL). There were no intraoperative complications. The average hospital stay was 2.2 days (range, 1 to 4 days). Conclusion: The laparoscopic approach to splenic artery aneurysm by aneurysmectomy or splenic artery ligation can be safe and effective. The laparoscopic approach affords a short hospital stay and an effective result. (J Vasc Surg 1999;30:184-8.)
ISSN:0741-5214
1097-6809
DOI:10.1016/S0741-5214(99)70190-4