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Epidermoid Splenic Cyst in Children Treated by Laparoscopic Partial Splenectomy
Salihou Aminou Sadjo1, Christelle Destinval, Sophie Amenan Kan Kouassi-Dria
1Department of Pediatric Surgery, Nancy Regional University Hospital, Nancy, Vandoeuvre-les-Nancy, France.
African Journal of Paediatric Surgery : AJPS
|September 16, 2024
Summary
Laparoscopic partial splenectomy is a safe and effective treatment for pediatric epidermoid splenic cysts, preserving spleen function and avoiding infection risks. This approach offers a viable alternative to total splenectomy in children.
Area of Science:
- Pediatric Surgery
- Surgical Oncology
- Abdominal Imaging
Background:
- Epidermoid splenic cysts are rare, benign pediatric tumors, representing 10% of splenic cysts.
- They are the most common non-parasitic splenic cyst diagnosis.
- Discovery can be incidental or due to abdominal pain/mass.
Observation:
- Three pediatric patients underwent laparoscopic partial splenectomy for splenic epidermoid cysts.
- Cyst sizes ranged from 4.5 to 7 cm, involving different spleen poles.
- Surgical times ranged from 2.5 to 4.5 hours with moderate blood loss (100-350 mL).
Findings:
- All patients had a 6-day hospital stay with no perioperative blood transfusions.
- Mean follow-up was 21 months, with no reported complications or cyst recurrence.
- Laparoscopic partial splenectomy successfully treated epidermoid splenic cysts in children.
Implications:
- Laparoscopic partial splenectomy preserves spleen function, reducing the risk of overwhelming post-splenectomy infection.
- This technique is a valuable, minimally invasive option for pediatric splenic epidermoid cysts.
- Requires a skilled surgical team due to potential bleeding risks.
