ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Laparoscopic transperitoneal left adrenalectomy and wandering spleen risk.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 5 citations in OpenAlex.
- Laparoscopic bilateral anterior transperitoneal adrenalectomy: 24 years experience.Surgical endoscopy · 2019Article
- Spleen assessment after laparoscopic transperitoneal left adrenalectomy: preliminary results.Surgical endoscopy · 2016Article
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
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Abstract
BACKGROUND AND
objectivesLaparoscopic transperitoneal left adrenalectomy (LTLA) has become the standard treatment for adrenal masses<6 cm. LTLA involves the dissection of splenic suspensory ligaments, which replicates their congenital absence or weakening, present in cases of wandering spleen (WS). WS is a rare condition in which the spleen migrates from the left upper quadrant to a more caudal location in the abdomen. A unique case of WS after LTLA was described by Corcione et al. In this prospective study, we investigated the possibility of WS as a consequence of LTLA.
methodsTwenty-four patients, 8 men and 16 women, who underwent LTLA with the dissection of splenoparietal and splenorenal ligaments were selected.
resultsClinical and ultrasonographic follow-up showed no evidence of postoperative WS.
conclusionsIn the literature, WS is not commonly reported as a postoperative complication of LTLA. In effect, especially in the case of small adrenal masses, the spleen's repositioning in its seat is autonomous. However, the alarming possibility of WS should not be ignored, especially in the case of extensive dissection of the left colic flexure. It would be useful for other authors to signal this complication, so that different approaches and consequent results may be compared.
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