title: Efficacy and surgical procedures of preoperative splenic artery embolization for laparoscopic splenectomy of a massive splenomegaly: A case report.
abstract: Here, we describe the case of a 58-year-old woman diagnosed with massive splenomegaly with a malignant lymphoma that had a maximum diameter of 24cm. Splenectomy was indicated because of thrombocytopenia and abdominal distention. Therefore, a balloon catheter was inserted preoperatively through the splenic artery for embolization and continuous infusion to reduce the spleen volume. It enabled easy handling of the spleen and minimized bleeding. The volume of the spleen was estimated at 1896g through the skin incision, as measured by volumetric computed tomography; thus, laparoscopy seemed difficult. However, the surgery was successfully performed only with laparoscopic surgery, and the volume of the resected spleen was 1020g. This preoperative preparation is an effective alternative to laparoscopic removal of a huge splenomegaly.
authors.affiliation: Gastroenterological Center Surgery, Medico Shunju Shiroyama Hospital, Osaka, Japan. Electronic address: nitta@shiroyama-hsp.or.jp.
authors.forename: Toshikatsu
authors.initials: T
authors.lastname: Nitta
authors.affiliation: Gastroenterological Center Surgery, Medico Shunju Shiroyama Hospital, Osaka, Japan.
authors.forename: Kensuke
authors.initials: K
authors.lastname: Fujii
authors.affiliation: Gastroenterological Center Surgery, Medico Shunju Shiroyama Hospital, Osaka, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kawasaki
authors.affiliation: Divisions of Radiology, Medico Shunju Shiroyama Hospital, Osaka, Japan.
authors.forename: Isao
authors.initials: I
authors.lastname: Takasaka
authors.affiliation: Hematology, Medico Shunju Shiroyama Hospital, Osaka, Japan.
authors.forename: Shuhei
authors.initials: S
authors.lastname: Kawata
authors.affiliation: Anesthesiology, Medico Shunju Shiroyama Hospital, Osaka, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Onaka
authors.affiliation: Gastroenterological Center Surgery, Medico Shunju Shiroyama Hospital, Osaka, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Ishibashi
keywords: Massive splenomegaly; Splenic artery embolization