Published online Jul 27, 2022. doi: 10.4240/wjgs.v14.i7.714
Peer-review started: March 22, 2022
First decision: June 11, 2022
Revised: June 14, 2022
Accepted: July 5, 2022
Article in press: July 5, 2022
Published online: July 27, 2022
Splenic artery aneurysm (SAA) is a rare vascular lesion conventionally treated by resection or interventional therapy. The surgical procedure usually involves splenectomy, and interventional therapy may cause post-embolization syndro
We report a patient with an asymptomatic SAA (3.5 cm in diameter), which was en-bloc resected laparoscopically using indocyanine green (ICG) fluorescence imaging to preserve the spleen and its function.
ICG fluorescence imaging for spleen preservation in laparoscopic SAA resection is safe and may be beneficial in avoiding splenectomy and maintaining splenic function.
Core Tip: Currently, there are three main treatment methods for splenic artery aneurysm (SAA): Endovascular treatment, open surgery, and laparoscopic surgery. Laparoscopic SAA resection is inevitably concomitant with splenectomy due to end-organ ischemia at times. We here present a case of SAA treated by laparoscopic resection using indocyanine green fluorescence imaging for preserving spleen and its function. This is the first case successfully treated by this method reported in the literature.