Aktimur R1*, Kucuk OG2, Colak E2 and Alici O3
1Department of General Surgery, Istanbul Aydin University, Turkey
2Department of General Surgery, Samsun Research and Training Hospital, Turkey
3Department of Pathology, Gaziosmanpasa University, Turkey
Introduction: Splenic hamartoma is a very rare benign vascular proliferative neoplasm. To date more than 150 cases have been reported. Although hamartoma is benign and usually asymptomatic, it is important to distinguish it from malignant lesions, especially metastatic tumors. Surgical resection is required to confirm final pathologic diagnosis. Today, laparoscopic surgery is becoming the standart technique for both benign and malignant splenic disease and there is an increasing trend toward the application of single-incision surgery.Case Description: A 24-year-old man with suggestive radiological features of a splenic hamartoma was admitted. Diagnosis of malignant tumor was not excluded completely, and intraumblical single-incision laparoscopic splenectomy was performed with conventional instruments and an energy device for hilar vessel control. The specimen was extracted intact through a relatively large intraumblical incision. The final pathological diagnosis was made as a splenic hamartoma.Discussion: Although there are several radiological features giving clue in the diagnosis of splenic hamartomas, our case showed slightly different radiological findings. In initial work-up, these cases should be extensively evaluated and final diagnosis should be confirmed histopathologically. Singleincision laparoscopic splenectomy using conventional instruments and vessel sealing device for hilar management may be a safe and feasible procedure for the diagnosis and treatment of solid splenic tumors, enclosing hamartoma. This is the first reported case of splenic hamartoma treated with single incision laparoscopic splenectomy.
Spleen; Hamartoma; Single incision; Splenectomy
Aktimur R, Kucuk OG, Colak E, Alici O. Splenic Hamartoma: Is Single-incision Laparoscopic Splenectomy Feasible? Clin Surg. 2016; 1: 1030.