Review ArticlesLaparoscopic Approach for Isolated Splenic Metastasis Comprehensive Literature Review and Report of 6 CasesLopez Monclova, Julio MD; Targarona Soler, Eduardo MD, PhD; Peraza Solis, Yerald MD; Vidal Gonzalez, Pablo MD; Balague Ponz, Carmen MD, PhD; Rodriguez Luppi, Carlos MD; Trias Folch, Manuel MD, PhDAuthor Information Department of Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona (UAB) Barcelona, Spain The authors declare no conflicts of interest. Reprints: Julio Lopez Monclova, MD, Department of Surgery, Hospital de la Santa Creu i Sant Pau, Mas Casanovas 90, 4th floor, Barcelona 08041, Spain (e-mail: [email protected]). Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: February 2013 - Volume 23 - Issue 1 - p 21-24 doi: 10.1097/SLE.0b013e318277b009 Buy Metrics Abstract Background: Splenic metastases are extremely unusual. The aim of this paper is to review the world experience to date concerning to laparoscopic approach for splenic metastasis, and to report ours at the Hospital de Sant Pau. Methods: Literature review was carried out and relevant reports on laparoscopic approach to splenic metastasis were obtained. In addition, we reviewed our patient’s database and retrieved the data of those who underwent laparoscopic splenectomy due to splenic involvement. Results: Electronic search yielded 8 relevant articles on open splenectomy and 7 articles on laparoscopic splenectomy for splenic metastasis. During the study period, 6 patients were operated on laparoscopically. Primary neoplasms were 3 melanomas, 2 colon carcinomas, and 1 malignant fibrous histiocytoma. None of the patients had surgical complications. Outcome ranged from 2-month to 11-year survival. Conclusions: The laparoscopic approach for splenic metastasis is feasible. Of course, it must be individualized in each case. © 2013 Lippincott Williams & Wilkins, Inc.