A Case of Splenic Metastasis of Ovarian Cancer Treated with Complete Laparoscopic Splenectomy and Transvaginal Specimen ExtractionYoshiaki Takase1,2, Naoki Tomizawa1*, Yasuaki Enokida1, Takuya Shiraishi1, Ryuji Katoh1, Yujin Suto1, Hiroaki Sato1, Ken Muroya1, Ryo Kurosaki1, Katsumi Kobayashi1, Kazuhisa Arakawa1, Tatsumasa Ando1 and Izumi Takesyohi2
- *Corresponding Author:
- Naoki Tomizawa
Maebashi Red Cross Hospital, Gunma, Japan
E-mail: [email protected]
Received date: March 21, 2016; Accepted date: June 20, 2016; Published date: June 26, 2016
Citation: Takase Y, Tomizawa N, Enokida Y, Shiraishi T, Katoh R, et al. (2016) A Case of Splenic Metastasis of Ovarian Cancer Treated with Complete Laparoscopic Splenectomy and Transvaginal Specimen Extraction. J Clin Case Rep 6:807. doi:10.4172/2165-7920.1000807
Copyright: © 2016 Takase Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
A 61-year-old woman was diagnosed with right inguinal lymph node and splenic metastasis of ovarian serous cystadenocarcinoma. We performed right inguinal lymph node dissection and total laparoscopic splenectomy in the supine position followed by transvaginal specimen extraction (TVSE). First, using three ports, we extracted the right inguinal lymph node. We repaired the posterior wall of the inguinal canal using a mesh plug. We added two ports and displaced the spleen from the retroperitoneum and lifted it using a snake retractor, disconnecting the hilum using an automatic suturing device. Next, the posterior wall of the vagina was intraperitoneally incised and an Alexis® laparoscopic system was inserted into the vagina. The cap maintained aeroperitoneum, a collection bag was inserted in the abdominal cavity via the vagina, and the spleen was collected. When the spleen was removed from the body, partial fragmentation of the organ was required in the bag. Organ fragmentation was performed only within the bag, and we made sure not to tear the bag. The vaginal wound was laparoscopically sutured. The patient had no operative complications and was able to actively ambulate at first day after surgery due to a slight postoperative pain. Total laparoscopic splenectomy with TVSE in the supine position may be a safe and feasible method for selected female patients. This technique enables minimally invasive surgery for female patients with splenic disease.