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Updated: Jul 14, 2026
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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Laparoscopic splenic total cystectomy in a patient with elevated CA 19-9
Melih Paksoy1, Ilhan Karabicak, Ramazan Kusaslan
1Department of General Surgery, Cerrahpasa Medical School of Istanbul University, Istanbul, Turkey.
Summary
True nonparasitic splenic cysts are rare benign conditions. Laparoscopic cystectomy is an effective minimally invasive treatment for splenic epidermoid cysts, even with elevated CA 19-9 levels.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- True nonparasitic splenic cysts are uncommon.
- Splenic epidermoid cysts can present with elevated cancer antigen 19-9 (CA 19-9) levels.
- Traditional treatment involved splenectomy, but minimally invasive approaches are now preferred.
Observation:
- This report details the second case of laparoscopic cystectomy for a splenic epidermoid cyst.
- The patient presented with elevated CA 19-9 serum levels.
Findings:
- Laparoscopic cystectomy was successfully performed.
- This minimally invasive technique is suitable for selected patients with splenic epidermoid cysts.
- The procedure was effective in managing the cyst and normalizing CA 19-9 levels.
Implications:
- Laparoscopic cystectomy offers a low-morbidity alternative to splenectomy for benign splenic epidermoid cysts.
- This approach is viable even in cases with elevated tumor markers like CA 19-9.
- Further case reports support the efficacy of conservative laparoscopic management for these rare splenic lesions.