{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T17:47:32Z","timestamp":1740160052289,"version":"3.37.3"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T00:00:00Z","timestamp":1618876800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T00:00:00Z","timestamp":1618876800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003500","name":"Universit\u00e0 degli Studi di Padova","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003500","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The laparoscopic splenectomy in pediatric patients is performed worldwide but often the disproportion between size of patients and size of organs requires an extra laparotomic access for spleen removal. The aim of the present study was to evaluate the safety and effectiveness of the Alexis<jats:sup>\u00ae<\/jats:sup>system to retrieve the spleen without additional laparotomic access. The charts of all patients who underwent splenectomy at our center during the last 5\u00a0years were retrieved. In all the cases the Alexis<jats:sup>\u00ae<\/jats:sup>system was placed in the umbilicus, thru which a 10\u00a0mm camera was inserted. Three additional 5\u00a0mm standard trocars were inserted. Seven patients, affected by spherocytosis (3), epidermoid cyst (2), idiopathic thrombocytopenic purpura (2) and thalassemia (1), underwent laparoscopic splenectomy at a median age of 10\u00a0years (range: 8\u201317). Median patients\u2019 weight was 32.5\u00a0kg (range: 25\u201371) and spleen size 15\u00a0cm (11\u201318). In all the cases, upon removal of the camera, the retrieval bag was inserted thru the umbilicus under direct view, the spleen retrieved, morcellated, and removed. No conversion nor enlargement of one of the ports nor an extra laparotomic access were required. The patients were discharged on the fifth post-operative day and the cosmetic results were excellent. Removal of the spleen can be safely performed without any additional laparotomy thru the Alexis<jats:sup>\u00ae<\/jats:sup>system placed in the umbilicus. This system is effective also in case of major patient\/organ size disproportion and the final cosmetic aspect is excellent.<\/jats:p>","DOI":"10.1007\/s13304-021-01023-5","type":"journal-article","created":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T13:15:29Z","timestamp":1618924529000},"page":"2315-2319","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Alexis\u00ae system for laparoscopic splenectomy in pediatric patients"],"prefix":"10.1007","volume":"73","author":[{"given":"Emanuele","family":"Trovalusci","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Gasparella","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Pizzato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4543-9298","authenticated-orcid":false,"given":"Paola","family":"Midrio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,4,20]]},"reference":[{"key":"1023_CR1","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1007\/978-3-030-00964-9_39","volume-title":"ESPES manual of pediatric minimally invasive surgery","author":"C Barroso","year":"2019","unstructured":"Barroso C, Correia-Pinto J (2019) Laparoscopic Splenectomy. 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