title: Laparoscopic fenestration and modified marsupialization of posttraumatic splenic cysts using a harmonic scalpel.
abstract: In recent years, the advanced laparoscopic experience has revolutionized surgery and fostered the expansion of the indications for minimally invasive surgery in the diagnosis and treatment of all intra-abdominal pathology. Total splenectomy, which traditionally was the procedure of choice in the treatment of symptomatic nonparasitic splenic cysts, recently has been changed to a more conservative approach by many authors [1, 5, 9]. The conservative methods preserve immunologic function of the spleen and prevent the potentially fatal postsplenectomy sepsis complications [9]. We successfully performed laparoscopic fenestration and modified marsupialization of these cysts using a harmonic scalpel on two patients with symptomatic splenic psuedocysts.
authors.affiliation: Department of Clinical Research, St. Anthony Hospital, 608 NW 9th Street, Suite 4100, Oklahoma City, OK 73102, USA. Mohammad_Jamshidi@ssmhc.com
authors.forename: M
authors.initials: M
authors.lastname: Jamshidi
authors.forename: E
authors.initials: E
authors.lastname: Chang
authors.forename: G
authors.initials: G
authors.lastname: Smaroff
authors.forename: J
authors.initials: J
authors.lastname: Mehta
authors.forename: A
authors.initials: A
authors.lastname: Ghani
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000368:Aged; D001914:Boxing / Q000293:injuries; D003560:Cysts / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D013154:Spleen / Q000293:injuries* / Q000601:surgery*; D013158:Splenic Diseases / Q000209:etiology / Q000601:surgery*