Laparoscopic resection of splenic artery aneurysms

• Published in: Surgical endoscopy Vol. 19; no. 4; pp. 488 - 493
• Main Authors: Reardon, P R, Otah, E, Craig, E S, Matthews, B D, Reardon, M J
• Format: Journal Article
• Language: English
• Published: Germany Springer Nature B.V 01.04.2005
• Subjects: Adult; Aged; Analgesics, Opioid - therapeutic use; Aneurysm - diagnostic imaging; Aneurysm - surgery; Diet; Female; Follow-Up Studies; Humans; Intraoperative Complications - surgery; Laparoscopy - adverse effects; Laparoscopy - methods; Laparotomy; Length of Stay; Male; Middle Aged; Pain, Postoperative - drug therapy; Postoperative Care; Postoperative Complications; Radiography; Retrospective Studies; Splenic Artery - surgery; Splenic Vein - injuries; Treatment Outcome
• ISSN: 0930-2794; 1432-2218
• DOI: 10.1007/s00464-004-8916-8

Laparoscopic techniques used to manage asymptomatic splenic artery aneurysms have been reported infrequently. A laparoscopic splenic artery aneurysm resection was attempted for six consecutive patients. One patient underwent conversion to laparotomy because of a tear in the splenic vein. Among the five successful laparoscopic splenic artery aneurysm resections, the mean estimated blood loss was 37 +/- 12.6 ml, the mean operative time was 187.6 +/- 79.2 min, and the mean postoperative length of hospital stay was 1.8 +/- 1.3 days. The mean time to a clear liquid diet was 5.3 +/- 0.5 h, and the mean time to a regular diet was 1 +/- 0 day. The mean duration of narcotic analgesic use was 5.4 +/- 1.5 days, and the mean time to resumption of regular activities was 12.7 +/- 1.6 days. These cases illustrate the benefit of a laparoscopic approach with brief hospitalizations, early resumption of diet and regular activity, and minimal use of postoperative narcotic analgesics.