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  <front>
    <journal-meta>
      <journal-id journal-id-type="nlm-ta">Mini-invasive Surg.</journal-id>
      <journal-id journal-id-type="publisher-id">MIS</journal-id>
      <journal-title-group>
        <journal-title>Mini-invasive Surgery</journal-title>
      </journal-title-group>
      <issn pub-type="epub">2574-1225</issn>
      <publisher>
        <publisher-name>OAE Publishing Inc.</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.20517/2574-1225.2025.166</article-id>
      <article-categories>
        <subj-group>
          <subject>Video Article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Laparoscopic partial splenectomy for upper pole lesions key technical considerations</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Wei</surname>
            <given-names>Kun</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Geng</surname>
            <given-names>Xi-Lin</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Du</surname>
            <given-names>Zhao-Qing</given-names>
          </name>
          <xref ref-type="corresp" rid="cor1" />
        </contrib>
      </contrib-group>
      <aff id="I">Department of Hepatobiliary Surgery, Shaanxi Provincial People’s Hospital, Xi’an 710061, Shaanxi, China.</aff>
      <author-notes>
        <corresp id="cor1">Correspondence to: Dr. Zhao-Qing Du, Department of Hepatobiliary Surgery, Shaanxi Provincial People’s Hospital, Xi’an 710061, Shaanxi, China. E-mail: <email>duzhaoqing2007@126.com</email></corresp>
        <fn fn-type="other">
          <p>
            <bold>Received:</bold> 11 Dec 2025 |  <bold>First Decision:</bold> 3 Apr 2026 |  <bold>Revised:</bold> 14 May 2026 |  <bold>Accepted:</bold> 4 Jun 2026 |  <bold>Published:</bold> 30 Jun 2026</p>
        </fn>
        <fn fn-type="other">
          <p>
            <bold>Academic Editor:</bold> Giulio Belli |  <bold>Copy Editor:</bold> Pei-Yun Wang |  <bold>Production Editor:</bold> Pei-Yun Wang</p>
        </fn>
      </author-notes>
      <pub-date pub-type="ppub">
        <year>2026</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>30</day>
        <month>6</month>
        <year>2026</year>
      </pub-date>
      <volume>10</volume>
      <elocation-id>23</elocation-id>
      <permissions>
        <copyright-statement>© The Author(s) 2026.</copyright-statement>
        <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <license-p>© The Author(s) 2026. <bold>Open Access</bold> This article is licensed under a Creative Commons Attribution 4.0 International License (<uri xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</uri>), which permits unrestricted use, sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
        </license>
      </permissions>
    </article-meta>
  </front>
  <body>
    <p><inline-supplementary-material content-type="local-data" mimetype="application/zip" xlink:href="mis90166-SupplementaryMaterials.zip">Watch</inline-supplementary-material> a video of this article.</p>
    <sec id="sec1">
      <title>BRIEF EXPLANATION</title>
      <p>Partial splenectomy is mainly indicated for benign splenic lesions and selected mild traumatic injuries when preservation of splenic immune function is desirable<sup>[<xref ref-type="bibr" rid="B1">1</xref>,<xref ref-type="bibr" rid="B2">2</xref>]</sup>. A 14-year-old patient with a benign upper pole splenic lesion underwent laparoscopic partial splenectomy. Preoperative enhanced computed tomography (CT) demonstrated an upper pole lesion with a resectable vascular territory. Laparoscopic partial splenectomy offers the advantages of splenic preservation, less surgical trauma, and faster postoperative recovery<sup>[<xref ref-type="bibr" rid="B3">3</xref>,<xref ref-type="bibr" rid="B4">4</xref>]</sup>, but it also requires precise hilar vascular dissection and reliable control of the transection plane<sup>[<xref ref-type="bibr" rid="B5">5</xref>]</sup>. In selected complex cases, preoperative three-dimensional vascular reconstruction may help clarify hilar anatomy, and intraoperative ultrasound may be considered when lesion localization or the resection margin is uncertain<sup>[<xref ref-type="bibr" rid="B6">6</xref>,<xref ref-type="bibr" rid="B7">7</xref>]</sup>.</p>
      <sec id="sec1-1">
        <title>Surgical technique</title>
        <p>The port placement strategy is shown in <xref ref-type="fig" rid="fig1">Figure 1</xref>, and the key operative steps are shown in <xref ref-type="fig" rid="fig2">Figures 2</xref>-<xref ref-type="fig" rid="fig4">4</xref> and <inline-supplementary-material content-type="local-data" mimetype="application/zip" xlink:href="mis90166-SupplementaryMaterials.zip">Video 1</inline-supplementary-material>. After division of the short gastric vessels within the gastrosplenic ligament, the main splenic artery trunk was identified along the superior pancreatic border and suspended with a silk suture for traction and vascular control. The secondary pedicular vessels supplying the splenic upper pole were then dissected and divided close to the splenic parenchyma en bloc [<xref ref-type="fig" rid="fig2">Figure 2A</xref>]. An ischemic demarcation line became evident, and the splenic parenchyma was transected 0.5-1 cm distal to this line using an electrocautery hook [<xref ref-type="fig" rid="fig2">Figure 2B</xref>]. Visible vessels on the cut surface were clipped or coagulated carefully, and low-temperature electrocoagulation was applied to achieve hemostasis while minimizing thermal injury [<xref ref-type="fig" rid="fig2">Figure 2C</xref>]. Only the ligaments adjacent to the resected segment were divided, whereas the remaining perisplenic ligaments were preserved whenever possible. Operative time was 95 min, blood loss was 50 mL, and the postoperative hospital stay was 5 days. Pathology confirmed a benign lesion [<xref ref-type="fig" rid="fig3">Figure 3</xref>], and postoperative CT demonstrated a well-perfused splenic remnant without infarction or bleeding [<xref ref-type="fig" rid="fig4">Figure 4</xref>].</p>
        <fig id="fig1" position="float" width="260">
          <label>Figure 1</label>
          <caption>
            <p>Port placement for laparoscopic partial splenectomy. A: Umbilical trocar; B, C, D, and E: operating trocars.</p>
          </caption>
          <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="mis90166.fig.1.jpg" />
        </fig>
        <fig id="fig2" position="float">
          <label>Figure 2</label>
          <caption>
            <p>Key steps in vascular management and parenchymal transection. (A) Dissection of the secondary splenic pedicle; (B) Visualization of the splenic ischemic demarcation line; (C) Hemostasis of the splenic transection surface.</p>
          </caption>
          <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="mis90166.fig.2.jpg" />
        </fig>
        <fig id="fig3" position="float" width="450">
          <label>Figure 3</label>
          <caption>
            <p>Postoperative pathological findings confirming a benign splenic lesion.</p>
          </caption>
          <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="mis90166.fig.3.jpg" />
        </fig>
        <fig id="fig4" position="float" width="500">
          <label>Figure 4</label>
          <caption>
            <p>Abdominal computed tomography images. (A) Preoperative CT scan; (B) Postoperative CT scan demonstrating preservation of the residual spleen. CT: Computed tomography.</p>
          </caption>
          <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="mis90166.fig.4.jpg" />
        </fig>
      </sec>
    </sec>
  </body>
  <back>
    <sec>
      <title>DECLARATIONS</title>
      <sec>
        <title>Authors’ contributions</title>
        <p>Conceptualization and manuscript drafting: Wei K, Du ZQ</p>
        <p>Video preparation: Wei K, Geng XL</p>
        <p>Manuscript revision and final approval: Du ZQ</p>
      </sec>
      <sec>
        <title>Availability of data and materials</title>
        <p>Not applicable.</p>
      </sec>
      <sec>
        <title>AI and AI-assisted tools statement</title>
        <p>Not applicable.</p>
      </sec>
      <sec>
        <title>Financial support and sponsorship</title>
        <p>None.</p>
      </sec>
      <sec>
        <title>Conflicts of interest</title>
        <p>All authors declared that there are no conflicts of interest.</p>
      </sec>
      <sec>
        <title>Ethical approval and consent to participate</title>
        <p>According to institutional policy, ethics committee approval was not required for this video article/case-based educational report. Informed consent was obtained from the patient.</p>
      </sec>
      <sec>
        <title>Consent for publication</title>
        <p>Written informed consent for publication of the video and related images was obtained from the patient’s legal guardian.</p>
      </sec>
      <sec>
        <title>Copyright</title>
        <p>© The Author(s) 2026.</p>
      </sec>
	  <sec sec-type="supplementary-material">
      <title>Supplementary Materials</title>
          <supplementary-material content-type="local-data">
                <media xlink:href="mis90166-SupplementaryMaterials.zip" mimetype="application/zip">
                        <caption>
                                <p>Supplementary Materials</p>
                        </caption>
                </media>
          </supplementary-material>
          <p>Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.</p>
          </sec>
    </sec>
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