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Updated: Sep 15, 2025
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Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
379
Minimally invasive surgery for giant splenic cysts
Rany Aoun1, Rhea Akel2, Maxime Genety1
1Department of Digestive Surgery, Bethune Beuvry Hospital Center, Beuvry, France.
Journal of Minimal Access Surgery
|July 14, 2025
Summary
Solitary non-parasitic splenic cysts are rare but benign. This systematic review of 55 patients found laparoscopic fenestration to be a safe surgical option with low complication rates for symptomatic splenic cysts.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Imaging
Background:
- Solitary non-parasitic splenic cysts are infrequently documented, primarily in case reports.
- Understanding the characteristics and management of these rare splenic lesions is crucial for clinical practice.
Purpose of the Study:
- To conduct a systematic review analyzing published data on solitary non-parasitic splenic cysts.
- To consolidate information on patient demographics, clinical presentation, cyst characteristics, and treatment outcomes.
Main Methods:
- Systematic literature review adhering to the PRISMA protocol.
- Searches conducted in PubMed/MEDLINE, Embase, and Google Scholar Library up to May 2024.
- Inclusion of data from 55 patients diagnosed with solitary non-parasitic splenic cysts.
Main Results:
- The study included 55 patients (56.36% female, mean age 29.13 years).
- Abdominal pain was the most common symptom (58%), while 9% were asymptomatic; cyst sizes ranged from 67 to 250 mm.
- Laparoscopic fenestration was performed in 54.55% of cases, with all lesions confirmed as benign; minor complications (5.45%) and recurrence (5.45%) were low.
Conclusions:
- Solitary non-parasitic splenic cysts are uncommon, benign splenic lesions.
- Symptomatic cysts necessitate surgical intervention, with minimally invasive approaches demonstrating safety and efficacy.
- Laparoscopic fenestration offers a low-morbidity, low-mortality surgical option for these splenic cysts.
