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Published on: February 28, 2025
Laparoscopic partial gastrectomy of a huge gastric duplication cyst in an infant
Shinya Takazawa1, Hiroo Uchida2, Hiroshi Kawashima3
1Department of Pediatric Surgery, Saitama Children's Medical Center, Saitama, Japan ; Department of Pediatric Surgery, The University of Tokyo Hospital, Tokyo, Japan.
Insights
Gastric duplication cysts are rare, but this study details a successful laparoscopic surgery for a huge cyst in an infant. This approach offers a minimally invasive option for even large pediatric gastric duplication cysts.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Anomalies
- Minimally Invasive Surgery
Background:
- Gastric duplication cysts are rare congenital anomalies, typically diagnosed in childhood.
- While small cysts are often treated laparoscopically in pediatric patients, large cysts present unique surgical challenges.
Purpose of the Study:
- To report the successful laparoscopic treatment of a massive gastric duplication cyst in an infant.
- To highlight the feasibility and techniques for managing large gastric duplication cysts using laparoscopic partial gastrectomy in neonates.
Main Methods:
- Laparoscopic partial gastrectomy was performed on an infant with a large gastric duplication cyst.
- The procedure involved careful dissection and resection to preserve gastric function.
Main Results:
- The surgery was successful, with the infant recovering well.
- This represents the largest gastric duplication cyst documented to be treated laparoscopically in an infant.
Conclusions:
- Laparoscopic partial gastrectomy is a viable and effective treatment for huge gastric duplication cysts in infants.
- The described techniques and tips can aid surgeons in managing these rare and challenging pediatric cases.
Abstract:
Gastric duplication cyst is a rare anomaly, and most cases are recognized during childhood. Recently, several pediatric cases with small gastric duplication cysts treated by laparoscopic resection have been reported. Here, we describe an infant in whom we successfully performed laparoscopic partial gastrectomy for the treatment of a huge gastric duplication cyst. To the best of our knowledge, this is the largest gastric duplication cyst treated by laparoscopic surgery among infants. We introduce our procedure and some tips.

