Surgery treatment of spleen tumours

Surgical interventions in the inpatient department are covered by the loyalty program, which makes treatment even more affordable.

Spleen tumors are neoplasms that develop from morphologically altered cells in the parenchyma of the organ. They can be either benign or malignant. If pathology is detected, surgery is most often prescribed, but sometimes follow-up monitoring may be recommended.

At Oxford Medical, removal of spleen tumors is mainly performed by the laparoscopic method. This is a minimally invasive surgery: several punctures up to 1 cm in diameter are made on the peritoneum, through which a laparoscope equipped with a video camera and endoscopic instruments are introduced.

Laparoscopy allows to:

• minimize damage to healthy tissues;

• reduce the risk of complications;

• shorten the hospitalization period to 1–3 days and facilitate rehabilitation;

• simplify preparation for surgery according to the Fast Track Surgery protocol;

• avoid the formation of an unaesthetic scar.

In the early stages, spleen tumors develop asymptomatically. Pain and other signs appear as the neoplasm grows and compresses vessels and/or adjacent organs. The disease is often detected during routine examinations or diagnostics of other abdominal organ diseases.

The necessity of surgery is determined individually by doctors. First of all, it depends on the probable morphological nature of the tumor (malignant or benign). Its size, location, and other characteristics affect only the scope of surgical intervention.

If the tumor shows signs of being benign, the patient may be placed under follow-up monitoring: examinations are carried out regularly to control the neoplasm. However, statistics have shown that in 30% of patients a tumor that was initially considered benign turned out to be malignant, confirmed by histological analysis of a tissue sample. Therefore, the presence of any tumor in the spleen is a potential indication for surgical treatment.

To clarify the diagnosis, the patient may be prescribed:

• ultrasound of abdominal organs;

• computed tomography;

• magnetic resonance imaging;

• celiacography (X-ray examination of abdominal organ arteries using a contrast agent);

• spleen biopsy with subsequent histological analysis of the sample (to determine whether the tumor is benign or malignant);

• laboratory tests.

After hospitalization, the patient also undergoes ECG and preoperative blood tests (for blood type and Rh factor, coagulation, common infections, etc.). Thanks to the Fast Track Surgery protocol, the patient does not need prolonged fasting before surgery, nor mechanical bowel cleansing.

On the eve of the operation, the surgeon gives the patient detailed preparation recommendations.

For spleen tumors, 2 types of operations are performed:

• Resection – an organ-preserving operation in which only the affected part of the spleen is removed.

• Splenectomy – a radical operation involving removal of the entire organ. It is prescribed for malignant neoplasms, as well as large benign tumors that have affected most of the parenchyma.

Whenever possible, Oxford Medical surgeons perform organ-preserving operations. Removal of the spleen is carried out only when resection is impractical.

Regardless of the scope of the intervention, laparoscopic access is usually used. Instead of an incision, several punctures up to 1 cm are made on the peritoneum. Through one of them carbon dioxide is introduced, which allows lifting the abdominal wall and enlarging the operative field. After that, a laparoscope equipped with a miniature camera is inserted. The image is transmitted to the monitor screen with 40–50-fold magnification. This allows the doctor, using endoscopic instruments, to perform all manipulations with maximum precision.

Immediately after surgery, the patient is brought out of anesthesia. He spends several hours in the intensive care unit under hardware monitoring and medical supervision. After that, if the condition is stable, the patient is transferred to the ward.

As a rule, on the day of surgery the patient is advised bed rest. Getting up and walking around the ward, as well as drinking and eating light food, are allowed the very next day.

The length of hospitalization during laparoscopic surgery is 1–3 days.

For several weeks, the patient is recommended to:

• avoid intensive physical activity and heavy lifting;

• follow a diet and nutritional regimen;

• take prescribed medications and attend postoperative check-ups on time.

Most patients return to their usual lifestyle after 2–4 weeks, but full rehabilitation may take about 2 months.

If the tumor is malignant, the patient may be prescribed chemotherapy or other treatment.

Neoplasms of the spleen can provoke the following complications:

• anemia;

• weakened immunity;

• compression of adjacent organs and impaired function;

• rupture of the spleen and internal bleeding;

• development of metastases (in primary malignant tumor).

Timely surgical treatment reduces the risk of these complications.

The cost of the operation depends on:

• the extent of the surgical intervention - resection or removal of the entire spleen;

• the use of laparoscopic or open access.

You can find out the cost of surgical treatment at «Oxford Medical» here. Only a doctor can give you a more accurate estimate of the price, taking into account the diagnosis and other individual characteristics. Make an appointment for a consultation at a time convenient for you.

At «Oxford Medical», removal of spleen tumors is performed in a high-tech surgical hospital. It is equipped with new equipment that allows you to diagnose neoplasms from 1 mm in size, as well as perform minimally invasive and open surgeries of any complexity. In addition, the clinic is equipped with intensive care units with equipment to monitor and support vital body functions.

Since the safety and effectiveness of surgical treatment depend not only on the quality of the equipment, but also, first of all, on the professionalism of surgeons, a team of highly qualified specialists has been assembled at «Oxford Medical». Many have the highest medical category, the title of candidate or doctor of medical sciences, as well as many years of experience.

You can make an appointment for a consultation with a surgeon by calling the numbers listed on the website or using the online application form.