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Laparoscopic Partial Splenectomy: Indications and results of a multicenter retrospective study

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Partial splenectomy (PS) in children is a surgical option in haematological diseases and focal splenic tumours. The aim of this study was to describe the feasibility and the results of laparoscopic partial splenectomy in children in these two indications by a multicentric retrospective study.


The authors reviewed the files of all children who underwent laparoscopic PS between March 2002 and September 2006 in two paediatric surgical centers. The data of 11 children were collected and included clinical presentation, age, gender, radiographic examinations, surgical procedure, need for blood transfusion and early complications.


From March 2002 to September 2006, laparoscopic PS had been performed on 11 children (6 boys, 5 girls) aged 23 months to 11 years (mean 7, 9). Four children had splenic focal tumours and seven had haematological diseases: six hereditary spherocytosis (HS) and one hemoglobinosis E. During the surgical procedure for haematological diseases 75–80% of the splenic tissue was removed. When PS was performed for focal splenic tumours, the splenic remnant was around 70%. No preoperative complications occurred (no bleeding, no diaphragmatic injury). Neither preoperative nor conversion was necessary. One postoperative complication occurred (left pleural effusion) but required no further treatment. The mean hospital stay was 7.7 days (range from 3 days to 10 days). No infectious postoperative complications occurred; the mean follow up was 21.1 months (range 3–52 months).


Laparoscopic partial splenectomy is feasible and safe in children with hypersplenism or focal splenic tumours. Partial splenectomy is a good way to prevent postsplenectomy infections by preservation of the immune role of spleen in children with haematological diseases. This technique performed for focal splenic tumours allows the surgeon to choose the size of the splenic remnant.

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  1. Bader-Meunier B, Gauthier F, Archambaud F, Cynober T, Mielot F, Dommergues JP, Warszawski J, Mohandas N, Tchernia G (2001) Long-term evaluation of the beneficial effect of subtotal splenectomy for management of hereditary spherocytosis. Blood 97:399–403

    Article  PubMed  CAS  Google Scholar 

  2. Brown M, Ross A, Bishop H (1989) Partial splenectomy: The prefered alternative for the treatment of splenic cysts. J Pediatr Surg 24:694–696

    Article  PubMed  CAS  Google Scholar 

  3. Chambon JP, Vallet B, Caiazzo R, Zerbib P (2003) Management of splenectomized patients. Presse Med 32:S20–23

    PubMed  CAS  Google Scholar 

  4. Danielson PD, Shaul DB, Phillips JD, Stein JE, Anderson KD (2000) Technical advances in paediatric laparoscopy have had a beneficial impact on splenectomy. J Pediatr Surg 35:1578–1581

    Article  PubMed  CAS  Google Scholar 

  5. de Buys Roessingh AS, de Lagausie P, Rohrlich P, Berrebi D, Aigrain Y (2004) Follow up of partial splenectomy in children with hereditary spherocytosis. J Pediatr Surg 37:1459–1463

    Article  Google Scholar 

  6. de Lagausie P, Bonnard A, Benkerrou M, Rorhlich P, de Ribier A, Aigrain Y (2004) Pediatric laparoscopic splenectomy : benefits of the anterior approach. Surg Endosc 18:80–82

    Article  PubMed  Google Scholar 

  7. Eber SW, Langendorfer CM, Ditzig M, Reinhart D, Stohr G, Soldan W, Schroter W, Tchernia G (1999) Frequency of very late fatal sepsis after splenectomy for hereditary spherocytosis: impact of insufficient antibody response to pneumococcal infection. Ann Hematol 78:524–528

    Article  PubMed  CAS  Google Scholar 

  8. Ehrlich P, Jamieson C (1990) Non parasitic splenic cysts: a case report and review . Can J Surg 33:306–308

    PubMed  CAS  Google Scholar 

  9. Indowu O, Hayes-Jordan A (1998) Partial splenectomy in children under 4 years of age with hemoglobinopathy. J Pediatr Surg 33:1251–1253

    Article  Google Scholar 

  10. Jahn S, Bauer B, Schwab J, Kirchmair F, Neuhaus K, Kiessig ST, Volk HD, Mau H, von Baehr R, Specht U (1993) Immune restoration in children after partial splenectomy. Immunobiology 188:370–378

    PubMed  CAS  Google Scholar 

  11. Marchetti M, Quaglini S, Barosi G (1998) Prophylactic splenectomy and cholecystectomy in mild hereditary spherocytosis : analyzing the different clinical scenarios. J Intern Med 244:217–226

    Article  PubMed  CAS  Google Scholar 

  12. Martin J (1958) Congenital splenic cysts. Am J Surg 96:302–308

    Article  PubMed  CAS  Google Scholar 

  13. Minkes RK, Lagzdins M, Langer JC (2000) Laparoscopic versus open splenectomy in children. J Pediatr Surg 35:699–701

    Article  PubMed  CAS  Google Scholar 

  14. Pampaloni F, Valeri A, Mattei R, Presenti L, Noccioli B, Tozzini S, Di Lollo S, Pampaloni A (2002) Laparoscopic decapsulation of a large epidermoid splenic cyst in a child using the UltraCision LaparoSonic Coagulation Shears. Pediatr Med Chir 24:59–62

    PubMed  CAS  Google Scholar 

  15. Rescorla FJ (2002) Laparoscopic splenectomy. Semin Pediatr Surg 11:226–232

    Article  PubMed  Google Scholar 

  16. Rescorla FJ, Engum SA, West KW, Tres Scherer LR, 3rd, Rouse TM, Grosfeld JL (2002) Laparoscopic splenectomy has become the gold standard in children. Am Surg 68:297–301; Discussion 301–302

    PubMed  Google Scholar 

  17. Schilling RF (1976) Hereditary spherocytosis: a study of splenectomized persons. Semin Hematol 13:169–176

    PubMed  CAS  Google Scholar 

  18. Schilling RF (1997) Spherocytosis, splenectomy, strokes, and heart attacks. Lancet 350: 1677–1678

    Article  PubMed  CAS  Google Scholar 

  19. Sellers GJ, Starker PM (1997) Laparoscopic treatment of a benign splenic cyst. Surg Endosc 11:766–768

    Article  PubMed  CAS  Google Scholar 

  20. Seshadri PA, Poulin EC, Mamazza J, Sclachta CM (2000) Technique for laparoscopic partial splenectomy. Surg Laparosc Endosc Percutan Tech 10:106–109

    Article  PubMed  CAS  Google Scholar 

  21. Smith ST, Scott DJ, Burdick JS, Rege RV, Jones DB (2001) Laparoscopic marsupialization and hemisplenectomy for splenic cysts. J Laparoendosc Adv Surg Tech A 11:243–249

    Article  PubMed  CAS  Google Scholar 

  22. Tchernia G, Gauthier F, Mielot F, Dommergues JP, Yvart J, Chasis JA, Mohandas N (1993) Initial assessment of the beneficial effect of laparoscopic splenectomy in hereditary spherocytosis. Blood 81:2014–2020

    PubMed  CAS  Google Scholar 

  23. Tulman S, Holcomb GW, 3rd, Karamanoukian HL, Reynhout J (1993) Pediatric laparoscopic splenectomy. J Pediatr Surg 28:689–692

    Article  PubMed  CAS  Google Scholar 

  24. Vasilescu C, Stanciulea O, Colita A, Stoia R, Moincean A, Arion C (2003) Laparoscopic subtotal splenectomy in the treatment of hereditary spherocytosis. Chirurgia (Bucur) 98:571–576

    CAS  Google Scholar 

  25. Willcox TM, Speer RW, Schlinkert RT, Sarr MG (2000) Hemangioma of the spleen : presentation, diagnosis and management. J Gastrointest Surg 4:611–613

    Article  PubMed  CAS  Google Scholar 

  26. Yang YM, Donnell C, Wilborn W, Goodman SR, Files B, Moore RB, Mohandas N, Mankad VN (1992) Splenic sequestration associated with sickle cell trait and hereditary spherocytosis. Am J Hematol 40:110–116

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Géraldine Héry.

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Héry, G., Becmeur, F., Méfat, L. et al. Laparoscopic Partial Splenectomy: Indications and results of a multicenter retrospective study. Surg Endosc 22, 45–49 (2008).

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