Published in:
01-04-2005 | Original article
Laparoscopic resection of splenic artery aneurysms
Published in: Surgical Endoscopy | Issue 4/2005
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Background
Laparoscopic techniques used to manage asymptomatic splenic artery aneurysms have been reported infrequently.
Methods
A laparoscopic splenic artery aneurysm resection was attempted for six consecutive patients.
Results
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.
Conclusions
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.