title: Laparoscopic thermal ablation of splenic metastases initial experience and present aspects.
abstract: Splenic metastases develop in less than 1% of all metastatic cancers, and typically occur in a setting of disseminated disease. When isolated splenic metastasis occurs, the patient may be a candidate for aggressive treatment consisting mainly of splenectomy as described in the literature. However, the increased incidence of post-operative morbidity and severe infection after splenectomy are well known. We report a case of splenic metastasis that developed from colorectal cancer and was treated by laparoscopic-guided radiofrequency ablation. We reviewed the few reported cases of splenic metastasis (from colorectal and other primary cancers) treated by thermal ablation using radiofrequency (RF) or microwave (MW) energy sources.
  
  
  CONCLUSIONS
  Many studies have proved that thermal ablation for benign splenic pathology is both feasible and safe with no sacrifice in efficacy. However only a few cases of MW or RF treatment of splenic secondary tumor have been described; no complications have been reported with this treatment in contrast to the 15 to 27% morbidity rate for splenectomy.
  
  
  CONCLUSIONS
  When treatment of splenic metastasis is proposed with curative intent, thermal ablation by RF or by MW seems to be a feasible and safe technique resulting in spleen conservation with a low morbidity rate. Because of these features, thermal ablation seems an ideal treatment modality to obliterate splenic metastasis and may be an indispensable tool in the armamentarium of modern splenic surgery.
authors.affiliation: Department of General, Digestive and Endocrine Surgery, Robert-Debré Hospital, 51092 Reims, France.
authors.forename: S
authors.initials: S
authors.lastname: Lardière-Deguelte
authors.forename: L
authors.initials: L
authors.lastname: de Mestier
authors.forename: K L
authors.initials: KL
authors.lastname: Amroun
authors.forename: J
authors.initials: J
authors.lastname: Volet
authors.forename: P
authors.initials: P
authors.lastname: Cart
authors.forename: O
authors.initials: O
authors.lastname: Bouche
authors.forename: A
authors.initials: A
authors.lastname: Kianmanesh
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D017115:Catheter Ablation; D003082:Colectomy / Q000379:methods; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008875:Middle Aged; D009367:Neoplasm Staging; D013160:Splenic Neoplasms / Q000556:secondary / Q000601:surgery*; D016896:Treatment Outcome
keywords: Laparoscopy; Neoplasm; Spleen; Thermal ablation