{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:14:01Z","timestamp":1792642441412,"version":"4.5.0"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"D","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T00:00:00Z","timestamp":1601942400000},"content-version":"vor","delay-in-days":279,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004913","name":"University of Palermo","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004913","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Splenectomy is a surgical procedure indicated for the treatment of most benign and malignant splenic diseases, especially hematologic disorders. Laparoscopic approach is preferable to the open surgery for most indications because it reduces intra- and post-operative complications and shortens hospital stay. Laparoscopic approach is also feasible for partial splenectomy. Spleen-preserving techniques reduce the risk of severe infections and thromboembolic events that can occur after total splenectomy<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report a case of a 50-year old woman with an incidentally discovered voluminous lesion in the superior pole of spleen. A laparoscopic near-total splenectomy was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The evidence about the potential complications in splenectomised patients speaks in favour of performing spleen-sparing surgical techniques whenever possible. Most common indications for laparoscopic partial splenectomy are non-parasitic splenic cystic, benign splenic tumors, splenic haematological diseases, non-cystic intraparenchymal lesions, spleen rupture, splenic abscess, vascular abnormalities. Laparoscopic near total splenectomy is an innovative partial splenectomy technique consisting on preserving a residual spleen volume.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>LNTS seems to be a safe and effective technique for the management of benign spleen diseases. The comparison between other spleen preserving techniques shows that LNTS is associated with a lower rate of secondary surgery and postoperative recurrence of anaemia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.10.022","type":"journal-article","created":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T22:29:17Z","timestamp":1602628157000},"page":"S44-S47","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Laparoscopic near-total splenectomy. Report of a case"],"prefix":"10.1097","volume":"77","author":[{"given":"Giuseppe","family":"Di Buono","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Maienza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Buscemi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Gulotta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Romano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonino","family":"Agrusa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-12-20260114","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1016\/S1072-7515(01)01178-4","article-title":"Nonparasitic splenic cysts: pathogenesis, classification, and treatment","volume":"194","author":"Morgenstern","year":"2002","journal-title":"J. Am. Coll. Surg"},{"key":"R2-12-20260114","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE statement: consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2016","journal-title":"Int. J. Surg"},{"key":"R3-12-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R4-12-20260114","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1186\/s12893-018-0456-6","article-title":"Laparoscopic adrenalectomy: preoperative data, surgical technique and clinical outcomes","volume":"18","author":"Di Buono","year":"2019","journal-title":"BMC Surg"},{"key":"R6-12-20260114","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1111\/j.1600-0412.2012.01437.x","article-title":"Laparoscopic management of interstitial pregnancy: the \"purse-string\" technique","volume":"91","author":"Cucinella","year":"2012","journal-title":"Acta Obstet. Gynecol. Scand"},{"key":"R7-12-20260114","first-page":"385","article-title":"Adrenal cavernous hemangioma: which correct decision making process?","volume":"32","author":"Agrusa","year":"2016","journal-title":"Acta Med. Mediterranea"},{"key":"R8-12-20260114","doi-asserted-by":"crossref","first-page":"102392","DOI":"10.18632\/oncotarget.22059","article-title":"Innovation in endocrine surgery: robotic versus laparoscopic adrenalectomy. Meta-analysis and systematic literature review","volume":"8","author":"Agrusa","year":"2017","journal-title":"Oncotarget"},{"key":"R9-12-20260114","first-page":"125","article-title":"Laparoscopic management of adrenal tumors: a four-years experience in a single center","volume":"69","author":"Romano","year":"2014","journal-title":"Minerva Chir"},{"key":"R10-12-20260114","first-page":"180","article-title":"Laparoscopic drainage of liver abscess: case report and literature review","volume":"34","author":"Romano","year":"2013","journal-title":"G Chir"},{"key":"R11-12-20260114","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.ijscr.2013.12.020","article-title":"Adrenal gunshot wound: laparoscopic approach. Report of a case","volume":"5","author":"Agrusa","year":"2014","journal-title":"Int. J. Surg. Case Rep"},{"key":"R12-12-20260114","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.1002\/bjs.1800791230","article-title":"Laparoscopic splenectomy","volume":"79","author":"Delaitre","year":"1992","journal-title":"Br. J. Surg"},{"key":"R13-12-20260114","doi-asserted-by":"crossref","first-page":"291","DOI":"10.21873\/invivo.11058","article-title":"Laparoscopic splenectomy for benign hematological disorders in adults: a systematic review","volume":"31","author":"Moris","year":"2017","journal-title":"In Vivo"},{"key":"R14-12-20260114","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1080\/10245330600938463","article-title":"Hyposplenism: A comprehensive review. Part II: clinical manifestations, diagnosis, and management","volume":"12","author":"William","year":"2007","journal-title":"Hematology"},{"key":"R15-12-20260114","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1007\/s100240010145","article-title":"Asplenic-hyposplenic overwhelming sepsis: postsplenectomy sepsis revisited","volume":"4","author":"Hansen","year":"2001","journal-title":"Pediatr. Dev. Pathol"},{"key":"R16-12-20260114","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/S0140-6736(10)61493-6","article-title":"Post-splenectomy and hyposplenic states","volume":"378","author":"Di Sabatino","year":"2011","journal-title":"Lancet"},{"key":"R17-12-20260114","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/0022-4804(80)90076-1","article-title":"Critical splenic mass for survival from experimental pneumococcemia","volume":"28","author":"Van Wyck","year":"1980","journal-title":"J. Surg. Res"},{"key":"R18-12-20260114","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.jviscsurg.2016.11.001","article-title":"Laparoscopic partial splenectomy with selective pedicular approach (with video)","volume":"154","author":"Zarzavadjian Le Bian","year":"2017","journal-title":"J. Visc. Surg"},{"key":"R19-12-20260114","first-page":"25","article-title":"Hilar localization of splenic cyst does not always exclude the possibility of resective treatment","volume":"20","author":"Pouch\u00e8","year":"1999","journal-title":"G Chir"},{"key":"R20-12-20260114","doi-asserted-by":"crossref","first-page":"3273","DOI":"10.1007\/s00464-014-3600-0","article-title":"Laparoscopic partial splenectomy is safe and effective in patients with focal benign splenic lesion","volume":"28","author":"Wang","year":"2014","journal-title":"Surg. Endosc"},{"key":"R21-12-20260114","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1007\/s00595-018-1639-6","article-title":"Laparoscopic hemi-splenectomy","volume":"48","author":"De Pastena","year":"2018","journal-title":"Surg. Today"},{"key":"R22-12-20260114","doi-asserted-by":"crossref","first-page":"1505","DOI":"10.1007\/s00268-019-04946-8","article-title":"Feasibility and safety of laparoscopic partial splenectomy: a systematic review","volume":"43","author":"Liu","year":"2019","journal-title":"World J. Surg"},{"key":"R23-12-20260114","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/S0002-9610(05)80070-4","article-title":"Partial splenic resection using the TA-stapler","volume":"168","author":"Uran\u00fcs","year":"1994","journal-title":"Am. J. Surg"},{"key":"R24-12-20260114","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1007\/s00464-014-3638-z","article-title":"Laparoscopic partial splenectomy: a technical tip","volume":"29","author":"de la Villeon","year":"2015","journal-title":"Surg. Endosc"},{"key":"R25-12-20260114","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1016\/j.jpedsurg.2018.11.010","article-title":"Partial splenectomy: who, when and how. A systematic review of the 2130 published cases","volume":"54","author":"Costi","year":"2019","journal-title":"J. Pediatr. Surg"},{"key":"R26-12-20260114","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1097\/01.sla.0000150070.69769.39","article-title":"Near-total splenectomy: a new technique for the management of hereditary spherocytosis","volume":"241","author":"Stoehr","year":"2005","journal-title":"Ann. Surg"},{"key":"R27-12-20260114","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1111\/j.1365-2141.2005.05956.x","article-title":"Near-total splenectomy for hereditary spherocytosis: clinical prospects in relation to disease severity","volume":"132","author":"Stoehr","year":"2006","journal-title":"Br. J. Haematol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220309007?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220309007?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.10.022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:35:46Z","timestamp":1768397746000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.10.022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":26,"journal-issue":{"issue":"D","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.10.022","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}