17 December 2025
: Case report 
Splenic Hamartoma Diagnosed and Treated by Laparoscopic Splenectomy Associated With a Minimal Suprapubic Approach
Challenging differential diagnosis, Unusual setting of medical care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Hikaru Ohtani BCDF 1, Tomohide Hori ABCDEF 1*, Shigeki Nakayama DF 1, Satoru Umegae DF 1, Takao Iwanaga DF 1, Ryutaro Nishikawa DF 1, Takahiro Shimoyama DF 1, Sakurako Suzuki CF 1, Shigehito Nakashima D 2, Takayuki Yamamoto ADF 1DOI: 10.12659/AJCR.950597
Am J Case Rep 2025; 26:e950597
Figure 7 Initial surgical proceduresAn incision was created in the umbilicus for the camera port, and 3 working ports were placed (A). A large splenic tumor is visible intraoperatively (B–E, yellow arrows). The splenic artery (SA) and splenic vein (SV) were both skeletonized distally (B, C). To control intraoperative bleeding from the spleen and to shrink the spleen for subsequent removal through the abdominal wall, the SA was ligated before the SV (D, E). The spleen was mobilized from the retroabdominal space by cutting the connective tissue (F, green dotted arrows).