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Laparoskopische Splenektomie bei sklerosierender angiomatöser nodulärer Transformation

Laparoscopic splenectomy for sclerosing angiomatoid nodular transformation

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Zusammenfassung

Die sklerosierende angiomatöse noduläre Transformation (SANT) ist eine benigne Läsion der Milz, die durch die Splenektomie kurativ therapiert werden kann. Bei einer weltweiten Fallzahl von ca. 45 gibt es viele Daten über die Histopathologie, Daten chirurgischer Therapieansätze sind rar. Wir untersuchten bei einem Kasus die Realisierbarkeit einer laparoskopischen Splenektomie. Die histologische Untersuchung bestätigte das benigne Bild einer SANT, welche in toto entfernt wurde. Dieser Report zeigt, dass eine laparoskopische Splenektomie bei SANT eine sichere und effektive operative Methode ist.

Abstract

Sclerosing angiomatoid nodular transformation (SANT) is a benign lesion of the spleen which can be cured by splenectomy. In the literature about 45 cases have been reviewed. Although it is defined by the morphological details, data regarding surgical therapy are scarce. To the best of our knowledge, a laparoscopic approach has not been published before. We investigated in one case of SANT the feasibility of a laparoscopic approach. Histological investigations confirmed the diagnosis of a SANT which was resected in toto. This report shows that the laparoscopic splenectomy is a feasible, safe and effective method for treatment of SANT.

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Authors and Affiliations

  1. Chirurgische Klinik A, Allgemein-, Viszeral-, Thorax- und Unfallchirurgie, Klinikum der Stadt Ludwigshafen, Ludwigshafen, Deutschland

    Z. Mohr, S. Klippel & S. Willis

  2. Institut für Pathologie, Klinikum der Stadt Ludwigshafen, Ludwigshafen, Deutschland

    A. Spiethoff & D. Trick

Authors
  1. Z. Mohr
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  2. S. Klippel
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  3. A. Spiethoff
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  4. D. Trick
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  5. S. Willis
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Correspondence to Z. Mohr.

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Mohr, Z., Klippel, S., Spiethoff, A. et al. Laparoskopische Splenektomie bei sklerosierender angiomatöser nodulärer Transformation. Chirurg 82, 714–718 (2011). https://doi.org/10.1007/s00104-010-2045-9

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  • DOI: https://doi.org/10.1007/s00104-010-2045-9

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