Laparoscopic treatment of a benign splenic cyst.
With an understanding of the spleen's important immunologic function, splenectomy for benign splenic disorders has given way to a variety of splenic conservation techniques. Treatment options for benign nonparasitic splenic cysts include partial splenectomy, total cystectomy, or partial cyst decapsulation. External cyst wall decapsulation is a simplified operative procedure that carries no increased risk of cyst recurrence. However, a conventional upper abdominal laparotomy may subject patients to significant morbidity. We successfully performed a laparoscopic partial cyst decapsulation, achieving meticulous hemostasis with use of a laparoscopic-GIA stapling device. The patient tolerated the procedure well and was discharged on postoperative day 2. Follow-up has demonstrated no evidence of recurrent cyst formation.
Sellers
G J
GJ
Columbia Presbyterian Medical Center, Department of Surgery, 161 Fort Washington Avenue, New York, NY 10032, USA.
Starker
P M
PM
D000328:Adult; D003560:Cysts / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006488:Hemostasis, Surgical; D006801:Humans; D010535:Laparoscopy; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed