title: Laparoscopic approach for isolated splenic metastasis:  comprehensive literature review and report of 6 cases.
abstract: BACKGROUND
  Splenic metastases are extremely unusual. The aim of this paper is to review the world experience to date concerning to laparoscopic approach for splenic metastasis, and to report ours at the Hospital de Sant Pau.
  
  
  METHODS
  Literature review was carried out and relevant reports on laparoscopic approach to splenic metastasis were obtained. In addition, we reviewed our patient's database and retrieved the data of those who underwent laparoscopic splenectomy due to splenic involvement.
  
  
  RESULTS
  Electronic search yielded 8 relevant articles on open splenectomy and 7 articles on laparoscopic splenectomy for splenic metastasis. During the study period, 6 patients were operated on laparoscopically. Primary neoplasms were 3 melanomas, 2 colon carcinomas, and 1 malignant fibrous histiocytoma. None of the patients had surgical complications. Outcome ranged from 2-month to 11-year survival.
  
  
  CONCLUSIONS
  The laparoscopic approach for splenic metastasis is feasible. Of course, it must be individualized in each case.
authors: Department of Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain. juliocesar1701@hotmail.com
authors: Julio
authors: J
authors: Lopez Monclova
authors: Eduardo
authors: E
authors: Targarona Soler
authors: Yerald
authors: Y
authors: Peraza Solis
authors: Pablo
authors: P
authors: Vidal Gonzalez
authors: Carmen
authors: C
authors: Balague Ponz
authors: Carlos
authors: C
authors: Rodriguez Luppi
authors: Manuel
authors: M
authors: Trias Folch
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003110:Colonic Neoplasms; D005260:Female; D051677:Histiocytoma, Malignant Fibrous / Q000556:secondary; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008545:Melanoma / Q000556:secondary; D008875:Middle Aged; D013156:Splenectomy / Q000379:methods*; D013160:Splenic Neoplasms / Q000556:secondary / Q000601:surgery*