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September 10, 2025

Laparoscopic Subtotal Splenectomy in Pediatric Patients With Hematologic Disorders: A Case Series and Operative Technique.

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Authors

MYMasaya YamotoOsaka City General HospitalYSYu SugaiShizuoka Children's HospitalYNYuri NemotoBoston Children's Hospital

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Overview

Case series highlights laparoscopic subtotal splenectomy's efficacy in pediatric patients, suggesting potential in managing hematologic disorders.

Key Points

  • Laparoscopic subtotal splenectomy achieved a 90-97% splenic resection while preserving immunologic function, ensuring safe recovery.
  • All patients maintained good health post-surgery, with no instances of overwhelming post-splenectomy infection or splenosis occurring.
  • Indocyanine green imaging was pivotal in assessing perfusion during laparoscopic procedures, promoting safer tissue resection.
  • Combined laparoscopic approaches, like cholecystectomy with LSS, demonstrated feasibility and effectiveness in managing related conditions.

Cite This Study

Yamoto et al. (2025) studied this question.

synapsesocial.com/papers/68c199e89b7b07f3a061b60bhttps://doi.org/10.1111/ases.70146
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Positive and Negative Staining of Hepatic Segments by Use of Fluorescent Imaging Techniques During Laparoscopic Hepatectomy2012 · 177 citations
  2. 2A long‐term follow‐up study of subtotal splenectomy in children with hereditary spherocytosis2017 · 19 citations
  3. 3Clinical application of indocyanine green-fluorescence imaging during hepatectomy2016 · 184 citations