Single Incision Laparoscopic Splenectomy: The First Two Cases

Single incision laparoscopic procedures are presumed to be as a step towards pure natural orifice transluminal endoscopic surgery. However, loss of requirement of any perforation of visceral organ and endoscopic equipment make this technique more popular and easily performable. Herein we report two splenectomy cases where single incision surgery (SILS) technique was performed. Two females of 28 years old and 22 years old with the diagnoses of ITP underwent single incision laparoscopic splenectomy. Preoperatively with the receival of steroid therapy, thrombocyte counts were 92,000/m(3). A 2-cm umbilical incision was used for the placement of three (5 mm) trocars. One 5-mm videoscope (30A degrees) and roticulated laparoscopic dissector/grasper were the main tools during surgical procedure. Spleen was removed with a plastic removal bag through the umbilical trocar incision. The whole procedure ended in 110 and 150 min in both cases without any problem. Two patients were discharged on third and second postoperative days with the thrombocyte counts of 174,000/m(3) and 400,000/m(3), respectively. Although there were some procedures performed with single incision technique like cholecystectomy, prostatectomy, and partial nephrectomy, as far as we are concerned this is the first report about laparoscopic splenectomy performed with single incision surgery technique.