SIMULTANEOUS LAPAROSCOPIC SPLENECTOMY AND CHOLECYSTECTOMY (a case study with a brief literature review)
Abstract
Background. Simultaneous operations are a combination of several types of interventions during one laparoscopic procedure, with a good cosmetic result and rapid recovery after surgical aggression. Objective. Analysis of our own and available published outcomes of performing simultaneous laparoscopic splenectomy and cholecystectomy. Material and methods. The article presents a detailed description of our own experience of simultaneous laparoscopic splenectomy and cholecystectomy for a large posttraumatic splenic cyst and cholelithiasis. It also analyzes the available literature on the advantages and benefits of combined laparoscopic interventions. Results. The use of laparoscopic technologies allowed us to successfully perform simultaneous removal of the spleen and gallbladder during one surgical intervention. The postoperative period was uneventful. The patient was discharged for outpatient treatment. In the late postoperative period, she feels satisfactory. The data available in the scientific press confirm the effectiveness and safety of performing simultaneous combined laparoscopic interventions in patients with pathological changes in the spleen and gallbladder. Conclusion. The described clinical case alongside with the analyzed publications indicate that simultaneous operations for combined abdominal pathology are a feasible treatment option.
References
Kashheev VI. Simultannye operacii na osnove laparoskopicheskoj holicistjektomii [dissertation abstract]. Moskva (Russia); 2007. 17 p. (Russian).
Rahmatullaev AR, Artykov KP, Rahmatullaev RR. Laparoskopicheskie simultannye operacii pri sochetannyh hirurgicheskih zabolevanijah organov brjushnoj polosti [Laparoscopic simultaneous operations in combined surgical abdominal diseases]. Vestnik Avicenny [Avicenna Bulletin]. 2016;1:21-24. edn: WNCNUT. (Russian).
Fedorov VE, Aslanov AD, Logvina OA, Maslyakov VV. Simultannye operacii pri holedoholitiaze (obzor literatury) [Simultaneous surgeries in patients with cholelithiasis (literature review)]. Vestnik medicinskogo instituta "REAVIZ": reabilitacija, vrach i zdorove [Bulletin of the Medical Institute "REAVIZ": Rehabilitation, Doctor, and Health]. 2018;5:107-112. edn: VSUZRI. (Russian).
Gallyamov EA, Lutsevich OE, Popov SV, Senderovich EI, Presnov KS, Kochkin AD, Sergeev VP, Nasirova NI, Mikhaylikov TG, Aminova LN, Gallyamova SV, Novikov AB. Odnomomentnye laparoskopicheskie operacii [Simultaneous Laparosopic Operations]. Klinicheskaja i jeksperimentalnaja hirurgija. Zhurnal imeni akademika B.V. Petrovskogo [Clinical and Experimental Surgery. Petrovsky Journal]. 2014;3:70-77. edn: TDOZLH. (Russian).
Gallyamov EA, Agapov MA, Kubyshkin VA, Biktimirov RG, Malakhov PS, Zryanin AM, Kamalov AA, Lutsevich OE. Pervichno-mnozhestvennaja neoplazija pochki, predstatelnoj zhelezy i tolstoj kishki [Multiple primary neoplasia of kidney, prostate and colon]. Hirurgija. Zhurnal im. N.I. Pirogova [Pirogov Russian Journal of Surgery]. 2018;(4):98-100. https://doi.org/10.17116/hirurgia2018498-100. https://www.elibrary.ru/upteco. (Russian).
Safran DB, Orlando R. Physiologic effects of pneumoperitoneum. Am J Surg. 1994;167(2):281-286. https://doi.org/10.1016/0002-9610(94)90094-9.
Schöb OM, Allen DC, Benzel E, Curet MJ, Adams MS, Baldwin NG, Largiader F, Zucker KA. A comparison of the pathophysiologic effects of carbon dioxide, nitrous oxide, and helium pneumoperitoneum on intracranial pressure. Am J Surg. 1996;172(3):248-253. https://doi.org/10.1016/s0002-9610(96)00101-8.
Ho HS, Saunders CJ, Gunther RA, Wolfe BM. Effector of hemodynamics during laparoscopy: CO2 absorption or intra-abdominal pressure? J Surg Res. 1995;59(4):497-503. https://doi.org/10.1006/jsre.1995.1198.
Halverson A, Buchanan R, Jacobs L, Shayani V, Hunt T, Riedel C, Sackier J. Evaluation of mechanism of increased intracranial pressure with insufflation. Surg Endosc. 1998;12(3):266-269. https://doi.org/10.1007/s004649900648.
Rosenthal RJ, Hiatt JR, Phillips EH, Hewitt W, Demetriou AA, Grode M. Intracranial pressure. Effects of pneumoperitoneum in a large-animal model. Surg Endosc. 1997;11(4):376-380. https://doi.org/10.1007/s004649900367.
Meshkov SV, Korymasov EA, Ivanov SA, Bormotov VS. Laparoskopicheskaja splenjektomija pri anevrizme selezenochnoj arterii [Laparoscopic splenectomy for splenic artery aneurysm]. Vestnik medicinskogo instituta "REAVIZ": reabilitacija, vrach i zdorove [Bulletin of the Medical Institute "REAVIZ": Rehabilitation, Doctor, and Health]. 2022;12(2):119-124. https://doi.org/10.20340/vmi-rvz.2022.2.CASE.1. https://www.elibrary.ru/gvvrok. (Russian).
Lai EC, Yang GP, Tang CN, Yih PC, Chan OC, Li MK. Prospective randomized comparative study of single incision laparoscopic cholecystectomy versus conventional four-port laparoscopic cholecystectomy. Am J Surg. 2011;202(3):254-258. https://doi.org/10.1016/j.amjsurg.2010.12.009.
Caprotti R, Franciosi C, Romano F, Codecasa G, Musco F, Motta M, Uggeri F. Combined laparoscopic splenectomy and cholecystectomy for the treatment of hereditary spherocytosis: is it safe and effective? Surg Laparosc Endosc Percutan Tech. 1999;9(3):203-206.
Beppu T, Masuda Y, Katafuchi S, Egami H, Sakai K, Ueno M, Hashizume M, Kawakita M, Takatsuki K, Ogawa M. A laparoscopic splenectomy in combination with cholecystectomy in the treatment of hereditary spherocytosis and cholecystolithiasis. Japanese Journal of Gastroenterological Surgery. 1996;29(5):1050-1054. https://doi.org/10.5833/jjgs.29.1050.