Experience in managing splenic hilar vascular injury during laparoscopic total gastrectomy

Min Xia; Long Li; Ji-Xin Fu; Xin-Jian Wang

doi:10.1016/j.heliyon.2023.e18194

Experience in managing splenic hilar vascular injury during laparoscopic total gastrectomy

Heliyon. 2023 Jul 16;9(7):e18194. doi: 10.1016/j.heliyon.2023.e18194. eCollection 2023 Jul.

Authors

Min Xia¹, Long Li², Ji-Xin Fu², Xin-Jian Wang²

Affiliations

¹ Department of Endoscopy Center Weihai Central Hospital, Weihai, 264200, Shandong Province, China.
² Department of Gastrointestinal Surgery, Weihai Central Hospital, Weihai, 264200, Shandong Province, China.

Abstract

Splenic hilar vascular injury may occur during laparoscopic radical total gastrectomy for splenic hilar lymph node dissection and often causes massive hemorrhage, requiring conversion to laparotomy and splenectomy. Surgeons treating splenic hilar vascular injuries need a way to stop bleeding promptly and accurately. Herein, we report a case of splenic hilar vascular injury during laparoscopic total gastrectomy in which we successfully managed to stop the bleeding and preserve the spleen.

Publication types

Case Reports