Using Saline Bags Instead of Commercial Retrieval Bags to Reduce the Cost of Splenic Retrieval after Laparoscopic Splenectomy.

BACKGROUND:Laparoscopic splenectomy (LS) is considered the gold standard treatment in adults with idiopathic thrombocytopenic purpura (ITP) refractory to medical therapy. However, the retrieval of the spleen in LS is still a technical challenge, despite the use of various commercial retrieval bags. This study reports the feasibility and reliability of using a saline bag for spleen retrieval in a reduced port splenectomy.METHODS:Between 2007 and 2020, 55 consecutive patients underwent LS for ITP. Data were collected retrospectively. To retrieve the spleen, a 1 liter sterile saline bag was used.RESULTS:Fifty-five patients underwent LS. There was only one complication related to the saline bag: an iatrogenic ileal injury during the morselization process.CONCLUSION:One-liter saline bag is feasible, and widely available. No additional instruments or cost is required and there is no need to extend the wound for spleen retrieval during LS.KEY WORDS:Idiopathic thrombocytopenic purpura, Laparoscopic surgery, Splenectomy, Techniques.