Laparoscopic splenectomy in an adipose elderly patient with symptomatic non-Hodgkin lymphoma-related splenomegaly and traumatic central splenic hematoma.
During recent years, laparoscopic splenectomy has shown to be a safe and effective surgical approach in patients with hematologic disorders requiring spleen removal. Especially in cases with splenomegaly, the laparoscopic approach results in a shorter hospital stay and faster recovery of the patients. Due to the increasing experience in laparoscopy, this approach also is emerging to be a therapeutic option in patients with blunt abdominal trauma with splenic rupture or hematoma. We report the case of an 80-year-old female patient who underwent laparoscopic splenectomy for symptomatic splenomegaly due to non-hodgkin Lymphoma in combination with stable traumatic splenic hematoma after blunt abdominal trauma.
Granderath
Frank A
FA
Division of Surgical Endoscopy, Department of General, Visceral and Transplant Surgery, University Hospital of Tuebingen, 72076 Tuebingen, Germany. fagzellamsee@yahoo.com
Pointner
Rudolph
R
D000007:Abdominal Injuries / Q000150:complications; D000369:Aged, 80 and over; D005260:Female; D006406:Hematoma / Q000209:etiology; D006801:Humans; D010535:Laparoscopy; D008228:Lymphoma, Non-Hodgkin / Q000150:complications; D009765:Obesity / Q000150:complications; D013156:Splenectomy / Q000379:methods*; D013161:Splenic Rupture / Q000209:etiology / Q000601:surgery*; D013163:Splenomegaly / Q000209:etiology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000150:complications