Single-Incision Laparoscopic Splenectomy Using the Suture Suspension Technique for @entity381 in @entity1 with XXXX .

@entity1 @entity7276 @entity381 @entity302 @entity2145
BACKGROUND: With increasing laparoscopic surgery experience and improved new vessel-sealing equipment, @entity302 ( @entity302 ) for splenectomy has emerged as an alternative to multiport laparoscopy, but the application of @entity302 for @entity381 is still challenging due to technical difficulties. The aim of this study was to describe the suture suspension technique contributing to @entity302 for @entity7276 ( @entity7276 ). MATERIALS AND METHODS: A retrospective review was conducted to evaluate all @entity302 for @entity381 performed by a single surgeon. On preoperative ultrasonography, the spleen size index ranged from 0.67 to 0.82. An umbilical incision was used for the placement of a multichannel single port. To provide excellent exposure of the splenic hilum, a needle with a 1-0 suture was percutaneously introduced from the left hypochondriac region and then penetrated out the anterior chest wall for suspending the enlarged spleen. Dissection was facilitated by the use of a 5-mm curved reusable grasper and a 5-mm Harmonic(  ) scalpel (Ethicon Endo-Surgery, Cincinnati, @entity2145 ), and the splenic vessels were ligated with 5-mm Weck(  ) Hem-o-lok(  ) clips (Teleflex(  ), Morrisville, NC). The resected spleen was placed in an endosurgical bag, morcellated, and removed from the abdomen via the umbilical incision. RESULTS: Nine @entity1 underwent @entity302 during the study period without conversion to open procedures or requiring additional ports. The suture suspension technique was successfully used and markedly improved the exposure of the splenic hilum. The operative time was 122.6  31.2 minutes, and the extracted spleen weight was 562  74.5   g (range, 420-1260   g). No intraoperative or postoperative complications were recorded. The umbilical incision healed well with a satisfactory cosmetic effect. CONCLUSIONS: Our outcome shows the suture suspension enables safe and feasible usage of @entity302 for the management of @entity381 in @entity1 with @entity7276 . More experience is needed to assess advantages and disadvantages compared with the standard laparoscopic approach.
