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Updated: May 8, 2026
Application of Laparoscopic Partial Splenectomy with Total Blood Flow Occlusion in Benign Splenic Lesions
Published on: December 20, 2024
Minimally invasive treatment of splenic cysts in pediatric patients
A Santángelo1, J Udaquiola2, F Rabinovich2
1Surgery Department. Hospital de Niños Ricardo Gutiérrez. Buenos Aires (Argentina). Pediatric Surgery Group. Buenos Aires (Argentina).
Introduction:
Non-parasitic splenic cysts (NPSC) are a rare entity in the pediatric population. Surgical treatment remains controversial, with splenic function preservation being a key objective. We present our experience with the treatment of NPSC in pediatric patients through laparoscopic unroofing and omentoplasty, while assessing short- and long-term results.
Material And Methods:
A retrospective study of 12 pediatric patients with NPSC treated with laparoscopic unroofing and omentoplasty from 2000 to 2024 was carried out. Demographic, clinical, and surgical variables, as well as short- and long-term results, were analyzed.
Results:
Mean age was 11 years. 67% of the patients were female. No intraoperative or postoperative complications were recorded. Median follow-up was 18 months. 2 patients (17%) had a persistent cyst, but they remained asymptomatic and under follow-up. No recurrences were noted.
Conclusions:
Laparoscopic unroofing and omentoplasty is a viable and safe technique for the treatment of NPSC in pediatric patients, with acceptable recurrence rates and less morbidity. This technique can be an effective option to preserve splenic function and reduce the risk of complications. Further studies with a long-term follow-up are required to confirm these results.
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