The technique of laparoscopic retroperitoneal splenopexy for symptomatic wandering spleen in childhood

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• 作者：Klaus Schaarschmidt ; Michael Lempe ; Andreas Kolberg-Schwerdt ; Frank Schlesinger ; Irina Hayek ; Uwe Jaeschke
• 刊名：Journal of Pediatric Surgery
• 出版年：2005
• 出版时间：March 2005
• 年：2005
• 卷：40
• 期：3
• 页码：575-577
• 全文大小：126 K

文摘

Wandering spleen is an uncommon diagnosis, difficult to prove by standard investigations. The authors report a new method for laparoscopic splenopexy in children using a balloon-dilated retroperitoneal pouch.

Methods

From 3 accesses, the spleen is mobilized and displaced into a retroperitoneal pouch dilated to the double splenic volume. The pouch is dilated by a self-made balloon via a further intercostal access and narrowed by sutures incorporating the cranial and caudal edge of the gastrosplenic ligament.

Results

The peritoneal pouch contracts around the retroperitoneal spleen resulting in a firm fixation of the organ. This technique was successful in a 9-year-old girl with a 5-year history of severe recurrent abdominal pain.

Conclusions

Laparoscopic retroperitoneal pouch splenopexy is a safe and effective procedure for symptomatic wandering spleen precluding the use of foreign materials in this age group.