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Laparoscopic splenic cystectomy: a case report

P A Seshadri1, D Poenaru, A Park

  • 1Department of Surgery, Queen's University, Kingston, ON, Canada.

Journal of Pediatric Surgery
|October 10, 1998
PubMed
Summary
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Congenital epidermoid splenic cysts are rare but can cause symptoms. Laparoscopic partial cyst excision in a pediatric patient successfully treated a large splenic cyst with no recurrence at one year.

Area of Science:

  • Pediatric Surgery
  • Surgical Oncology
  • Gastroenterology

Background:

  • Congenital epidermoid splenic cysts are rare and can lead to symptomatic complications like enlargement or rupture.
  • Traditional treatments include drainage, partial splenectomy, or open cystectomy.
  • Minimally invasive approaches are increasingly explored for splenic cyst management.

Observation:

  • A pediatric patient presented with a large, symptomatic congenital epidermoid splenic cyst.
  • The cyst was successfully treated using a laparoscopic partial cyst excision technique.
  • Omental packing was utilized following the excision.

Findings:

  • Laparoscopic partial cyst excision is an effective minimally invasive treatment for large congenital epidermoid splenic cysts in children.

Related Experiment Videos

  • Pathological diagnosis was confirmed via laparoscopy.
  • The procedure resulted in a short hospital stay and preserved splenic function.

    • Implications:

    • Laparoscopic surgery offers a viable alternative for treating pediatric splenic epidermoid cysts, minimizing invasiveness.
    • This approach reduces the risk of cyst complications and preserves spleen function.
    • Further research into minimally invasive techniques for splenic cyst management is warranted.