ORIGINAL RESEARCH article

Front. Pediatr.

Sec. Pediatric Surgery

Volume 13 - 2025 | doi: 10.3389/fped.2025.1633940

Single-incision laparoscopic partial splenectomy for benign pediatric splenic tumors: A retrospective comparative study

Provisionally accepted
Ran  TangRan TangDe-Cheng  WeiDe-Cheng WeiCheng-Xiao  ZhouCheng-Xiao ZhouZhong-Ce  LiZhong-Ce LiJian  BianJian BianShi-Qin  QiShi-Qin Qi*
  • Anhui Provincial Children’s Hospital, Hefei, China

The final, formatted version of the article will be published soon.

The indications for laparoscopic partial splenectomy (LPS) in pediatric benign splenic tumors are well established, but concerns remain regarding its technical complexity and potential complications. This study aimed to evaluate the safety and outcomes of single-incision LPS (SILPS).A retrospective analysis was conducted on 22 children who underwent SILPS from July 2021 to April 2024, compared with 25 patients who received laparoscopic total splenectomy (TS). Clinical characteristics, operative details, and postoperative outcomes were assessed.Results: SILPS patients had comparable operative time, blood loss, and hospital stay to those in the TS group. However, SILPS was associated with significantly lower rates of postoperative thrombocytosis and leukocytosis. No major perioperative complications were observed.SILPS is a safe and effective spleen-preserving technique for pediatric benign splenic tumors, offering reduced hematologic complications without increasing surgical risks.It is technically demanding and requires experienced laparoscopic skills and proper patient selection.

Keywords: Partial splenectomy, Children, Benign splenic tumors, Single-incision, Thrombocytosis

Received: 23 May 2025; Accepted: 08 Jul 2025.

Copyright: © 2025 Tang, Wei, Zhou, Li, Bian and Qi. 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: Shi-Qin Qi, Anhui Provincial Children’s Hospital, Hefei, China

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