{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T17:34:11Z","timestamp":1773768851772,"version":"3.50.1"},"reference-count":10,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:p> Background: Delaitre and Maignien performed the first successful laparoscopic splenectomy in 1991. After that, laparoscopic splenectomy has become one of the most frequently performed laparoscopic solid organ procedures.  Aim: To demonstrate the surgical techique of laparoscopic splenetomy with reduced portals.  Methods: A reduce port laparoscopic splenectomy was performed by using a 10 mm and two 5 mm trocars. To entered the abdomen a trans-umbilical open technique was done and a 10 mm trocar was placed. A subcostal 5 mm trocar was placed under direct vision at the level of the anterior axillary line and another 5 mm port was inserted at the mid-epigastric region. Once it was completely dissected and freed from all of its attachments the hilum, splenic artery and vein, was clipped with hem-o-lock and divided with scissors. Then an endobag was used to retrieve the spleen after being morcellated trough the umbilical incision.  Results: This technique was used in a 15 years old female with epigastric and left upper quadrant pain. An abdominal ultrasound demonstrated a giant cyst located in the spleen. Laboratory tests findings were normal. The CT scan was also done, and showed a giant cyst, which squeeze the stomach. The patient tolerated well the procedure, with an unremarkable postoperative. She was discharge home 72 h after the surgery.  Conclusion: The use of reduce port minimizes abdominal trauma and has the hypothetical advantages of shorter postoperative stay, greater pain control, and better cosmesis. Laparoscopic splenectomy for giant cysts by using reduce port trocars is safe and feasible and less invasive.<\/jats:p>","DOI":"10.1590\/s0102-6720201500040016","type":"journal-article","created":{"date-parts":[[2016,1,7]],"date-time":"2016-01-07T08:35:13Z","timestamp":1452155713000},"page":"282-285","source":"Crossref","is-referenced-by-count":2,"title":["REDUCE PORT LAPAROSCOPIC SPLENECTOMY FOR GIANT EPITELIAL CYST"],"prefix":"10.1590","volume":"28","author":[{"given":"Mariano","family":"PALERMO","sequence":"first","affiliation":[{"name":"University of Buenos Aires,  Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"BLANCO","sequence":"additional","affiliation":[{"name":"University of Buenos Aires,  Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo","family":"ACQUAFRESCA","sequence":"additional","affiliation":[{"name":"University of Buenos Aires,  Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose","family":"MENENDEZ","sequence":"additional","affiliation":[{"name":"University of Buenos Aires,  Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"GARCIA","sequence":"additional","affiliation":[{"name":"University of Buenos Aires,  Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1097\/01.sla.0000080826.97026.d8","article-title":"Patel et al. Massive Splenomegaly Is associated with Significant Morbidity after Laparoscopic Surgery","volume":"238","author":"Ameet G","year":"2003","journal-title":"Annals of Surgery"},{"issue":"10","key":"ref2","doi-asserted-by":"crossref","first-page":"2349","DOI":"10.1007\/s00268-012-1680-3","article-title":"A meta-analysis of perioperative outcomes of laparoscopic splenectomy for hematological disorders","volume":"36","author":"Bai Y-N","year":"2012","journal-title":"World J Surg"},{"issue":"3","key":"ref3","doi-asserted-by":"crossref","first-page":"384","DOI":"10.4293\/108680811X13125733356918","article-title":"Laparoendoscopic single site (LESS) splenectomy with a conventional laparoscope and instruments","volume":"15","author":"Colon MJ","year":"2011","journal-title":"JSLS"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"2870","DOI":"10.1007\/s00464-012-2272-x","article-title":"Laparoscopic splenectomy: experience of a single center in a series of 300 cases","volume":"26","author":"Corcione F","year":"2012","journal-title":"Surg Endosc"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/S0002-9610(97)00264-X","article-title":"Is splenectomy more dangerous for massive sleens?","volume":"175","author":"MacAneny David","year":"1998","journal-title":"The American Journal of Surgery"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1097\/00000658-199807000-00006","article-title":"Splenomegaly Should Not Be Considered a Contraindication for Laparoscopic Splenectomy","volume":"228","author":"Eduard M. Targarona","year":"1998","journal-title":"Annals of Surgery"},{"issue":"12","key":"ref7","first-page":"1177","article-title":"Laparoscopic Splenectomy for Massive splenomegaly using a Lahey Bag","volume":"14","author":"Greene A","year":"2001","journal-title":"Am. J. Surg."},{"issue":"2","key":"ref8","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/S0002-9610(01)00874-1","article-title":"Laparoscopic Splenectomy for Massive splenomegaly","volume":"183","author":"Kercher KW","year":"2002","journal-title":"Am. J. Surg."},{"issue":"4","key":"ref9","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1177\/1553350608324931","article-title":"Portal vein thrombosis after laparoscopic splenectomy: the size of the risk","volume":"15","author":"Targarona EM","year":"2008","journal-title":"Surg Innov"},{"issue":"1-2","key":"ref10","first-page":"55","article-title":"How to prevent intraoperative risks and complications in laparoscopic splenectomy","volume":"31","author":"Vecchio R","year":"2010","journal-title":"G Chir"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v28n4\/0102-6720-abcd-28-04-00282.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,8,15]],"date-time":"2017-08-15T23:18:20Z","timestamp":1502839100000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202015000400282&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["S0102-67202015000400282"],"URL":"https:\/\/doi.org\/10.1590\/s0102-6720201500040016","relation":{},"ISSN":["0102-6720"],"issn-type":[{"value":"0102-6720","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12]]}}}