Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2022; 14(7): 714-719
Published online Jul 27, 2022. doi: 10.4240/wjgs.v14.i7.714
Indocyanine green fluorescence imaging for spleen preservation in laparoscopic splenic artery aneurysm resection: A case report
Jian Cheng, Li-Yang Sun, Jie Liu, Cheng-Wu Zhang
Jian Cheng, Li-Yang Sun, Jie Liu, Cheng-Wu Zhang, Department of General Surgery, Cancer Center, Division of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital, Hangzhou Medical College), Hangzhou 310014, Zhejiang Province, China
Author contributions: Cheng J, Liu J and Zhang CW performed the operation; Cheng J and Sun LY collected case data and wrote the manuscript; Zhang CW proofread and revised the manuscript; all authors approved the version to be published; Sun LY and Cheng J contributed equally to this work.
Supported by Zhejiang Medical and Health Science and Technology Plan, No. 2022RC096; and Basic Public Welfare Research Project of Zhejiang Province of China, No. LGF20H030011.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and for any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Cheng-Wu Zhang, MD, Chief Doctor, Professor, Department of General Surgery, Cancer Center, Division of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital, Hangzhou Medical College), No. 158 Shangtang Road, Hangzhou 310014, Zhejiang Province, China. zcwzry@163.com
Received: March 22, 2022
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
Abstract
BACKGROUND

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 syndromes. Preservation of the spleen and its function is rarely reported during the management of SAA.

CASE SUMMARY

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.

CONCLUSION

ICG fluorescence imaging for spleen preservation in laparoscopic SAA resection is safe and may be beneficial in avoiding splenectomy and maintaining splenic function.

Keywords: Laparoscopic, Indocyanine green, Fluorescence imaging, Splenic artery, Aneurysm, Spleen-preserving, Case report

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.