Robot-assisted Partial Splenectomy

Partial splenectomy (PS) has emerged as a viable alternative to total splenectomy for the management of benign splenic lesions, aiming to preserve immunological function while minimizing surgical morbidity. Robot-assisted surgery facilitates PS by providing three-dimensional visualization and precise dissection, leading to improved hemostatic control. We present the case of a 38-year-old woman with an incidental finding of a growing mass in the spleen suspected of a sclerosing angiomatoid nodular transformation (SANT) of the spleen, managed with robot-assisted PS. Intraoperative ultrasonography allowed for the accurate determination of the resection margin. The procedure included meticulous splenic hilum dissection with selective ligation of three vascular pedicles. Parenchymal transection was performed using a combination of robotic cautery, bipolar energy, and a laparoscopic harmonic device, minimizing blood loss. The patient was discharged on postoperative day 3 without complications. This case highlights the technical feasibility and advantages of robot-assisted PS in preserving splenic function while minimizing surgical morbidity.