Abstract
Laparoscopy has recently been demonstrated to be a useful alternative to open surgery for the surgical treatment of spleen disorders, and it can also facilitate a conservative approach for treatment of selected spleen lesions. We present the laparoscopic spleen-preserving treatment of a post-traumatic spleen cyst. A 28-year-old female presented a mass in the left hypochondrium immediately after an uneventful pregnancy. CT revealed a splenic cyst of 10×8 cm. Laparoscopic exploration showed a cyst located in the lower pole of the spleen. All the cyst wall not covered by spleen tissue (70%) was excised, and the fragment of cyst wall was recovered through a bag. The patient recovered uneventfully and was discharged 72 hours later. The laparoscopic approach should be considered for evaluation and treatment of selected benign cystic lesions of liver, retroperitoneum or spleen origin.
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References
Cuschieri A, Berci G (1993) Diagnostic laparoscopy, tissue diagnosis and other procedures. In: Cuschieri A, Berci G (eds) Laparoscopic biliary surgery, 2nd edition. Blackwell Sci Pub, Oxford, chap 11, pp 183–194
Dachman AH, Ros PR, Muran PJ, Olmsted WW, Lichtenstein J (1986) Nonparasitic splenic cyst: a report of 52 cases with radiologic pathologic correlation. AJR Am J Roengenol 147: 537–542
Edmond RE, Rochon BR, McPhail JF (1990) A traumatic splenic pseudocyst. Historical review, diagnosis and current mode of treatment. J Trauma 30: 349–352
Millar JS (1982) Partial excision and drainage of post-traumatic splenic cysts. Br J Surg 69: 477–478
Morgensteen L, Rosenberg J, Geller SA (1985) Tumors of the spleen. World J Surg 9: 468–476
Morgensteen L, Shapiro SJ (1980) Partial splenectomy for nonparasitic splenic cysts. Am J Surg 139: 278–281
Patcher HL, Hofstetter SR, Elkowitz A, Harris L, Liang HG (1993) Traumatic cysts of the spleen. The role of cystectomy and splenic preservation: experience with seven consecutive patients. J Trauma 35: 430–436
Salky B, Zimmermann M, Bauer J, Gelernt I, Kreel I (1985) Splenic cyst. Definitive treatment by laparoscopy. Gastrointest Endosc 31: 213–215
Trías M, Targarona EM (1994) Laparoscopic treatment of hereditary spherocytosis (splenectomy plus cholecystectomy). J Laparoend Surg 4: 71–73
Trías M, Targarona EM, Moral A (in press) Laparoscopic splenectomy. Technical aspects and preliminary results. End Surg All Tech (in press)
Targarona EM, Pons MJ, Viella P, Trias M, (accepted for publication) Laparoscopic treatment of a retroperitoneal cystic lymphangioma. Surg Endosc
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Targarona, E.M., Martínez, J., Ramos, C. et al. Conservative laparoscopic treatment of a posttraumatic splenic cyst. Surg Endosc 9, 71–72 (1995). https://doi.org/10.1007/BF00187891
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DOI: https://doi.org/10.1007/BF00187891