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Shabunin A.V.

Russian Medical Academy of Continuous Professional Education;
Botkin Moscow City Clinical Hospital

Bedin V.V.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Tavobilov M.M.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Karpov A.A.

Botkin Moscow City Clinical Hospital

Tsurkan V.A.

Botkin Municipal Clinical Hospital

Alieva F.F.

Russian Medical Academy for Continuous Professional Education

Pilyus F.G.

Sechenov First Moscow State Medical University

Selecting the most appropriate surgical treatment of true splenic artery aneurysm

Authors:

Shabunin A.V., Bedin V.V., Tavobilov M.M., Karpov A.A., Tsurkan V.A., Alieva F.F., Pilyus F.G.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(10): 21‑27

DOI: 10.17116/hirurgia202210121

Views: 2651

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Table of contents

SELECTING THE MOST APPROPRIATE SURGICAL TREATMENT OF TRUE SPLENIC ARTERY ANEURYSM
SELECTING THE MOST APPROPRIATE SURGICAL TREATMENT OF TRUE SPLENIC ARTERY ANEURYSM

To cite this article:

Shabunin AV, Bedin VV, Tavobilov MM, Karpov AA, Tsurkan VA, Alieva FF, Pilyus FG. Selecting the most appropriate surgical treatment of true splenic artery aneurysm. Pirogov Russian Journal of Surgery. 2022;(10):21‑27. (In Russ.)
https://doi.org/10.17116/hirurgia202210121

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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OBJECTIVE

To analyze the results of diagnosis and treatment of true splenic artery aneurysms.

MATERIAL AND METHODS

We analyzed the results of diagnosis and treatment of 27 patients with true splenic artery aneurysm. All ones underwent surgical treatment at the Botkin Municipal Clinical Hospital between 2017 and 2021. Splenic artery aneurysm >1 cm was an indication for surgical treatment. Surgical option depended on aneurysm location. Laparoscopic splenectomy and aneurysmectomy were performed in 4 cases (14.8%), 5 (18.5%) patients underwent endovascular intervention, laparoscopic clipping was performed in 18 (66.7%) cases. Methods of surgical treatment, general and specific postoperative complications according to the Clavien-Dindo and ISGPS classifications were analyzed.

RESULTS

Laparoscopic clipping was accompanied by fewer general and specific postoperative complications. Specific complications after laparoscopic splenectomy occurred in 2 patients (BL according to the ISGPS 2016 classification). There was one case of acute pancreatitis after endovascular interventions. In long-term postoperative period, aneurysm recanalization after endovascular intervention was observed in 1 case.

CONCLUSION

Surgical treatment of splenic artery aneurysms requires a differentiated approach based on topographic and anatomical assessment of aneurysm relative to the arterial vessel.

Keywords:

splenic artery aneurysm
laparoscopic clipping of splenic artery aneurysm
splenic artery embolization

Authors:

Shabunin A.V.

Russian Medical Academy of Continuous Professional Education;
Botkin Moscow City Clinical Hospital

Bedin V.V.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Tavobilov M.M.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Karpov A.A.

Botkin Moscow City Clinical Hospital

Tsurkan V.A.

Botkin Municipal Clinical Hospital

Alieva F.F.

Russian Medical Academy for Continuous Professional Education

Pilyus F.G.

Sechenov First Moscow State Medical University

Received:

08.05.2022

Accepted:

11.06.2022

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