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CASE REPORT article
Front. Med.
Sec. Hepatobiliary Diseases
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1570335
This article is part of the Research Topic Digital Technologies in Hepatology: Diagnosis, Treatment, and Epidemiological Insights View all articles
Preoperative high-precision three-dimensional reconstruction in laparoscopic splenectomy for supramassive splenomegaly: a case report and literature review
Provisionally accepted- The First people's Hospital of Xiaoshan District, Hangzhou, China
Background: Massive splenomegaly is considered to pose a high risk for laparoscopic splenectomy (LS). We report a case of supramassive splenomegaly wherein the patient successfully underwent LS guided by preoperative three-dimensional (3D) reconstruction.Case presentation: A 35-year-old female had a history of autoimmune hepatitis spanning 4 years, accompanied by progressive splenomegaly. Her spleen had grown to a size of 27.3 cm in diameter, and a consistent decline in her blood cell counts had been noted over the same period.Considering the significant enlargement of the spleen and the technical challenges associated with LS in such instances, a preoperative 3D reconstruction was performed. This 3D model accurately delineated the splenic artery and depicted the positional relationships between the enlarged spleen and nearby organs, thus supporting detailed preoperative planning. Following the surgical route determined in the preoperative planning, 3D assistance enabled the safe ligation of the splenic artery and meticulous separation of the spleen from adjacent tissues. The patient's postoperative recovery was smooth and free from complications.Meticulous preoperative 3D planning may help overcome technical difficulties and enable successful LS even in patients with supramassive splenomegaly.
Keywords: Laparoscopic splenectomy, supramassive splenomegaly, three-dimensional reconstruction, Preoperative planning, Autoimmune Hepatitis
Received: 03 Feb 2025; Accepted: 20 Feb 2025.
Copyright: © 2025 Huang, Gao, Yuhang and Ge. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Cheng Huang, The First people's Hospital of Xiaoshan District, Hangzhou, China
Lida Ge, The First people's Hospital of Xiaoshan District, Hangzhou, China
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