Laparoscopic hemi-splenectomy: a valid option in selected cases such as epidermoid cyst

Abstract

Splenic cysts are a rare pathology, which can be classified as true (25%) or pseudocysts (75%). Total splenectomy has been the treatment of choice, particularly in recent times with the advent of the laparoscopic approach. However, as the spleen is an organ with multiple immunological functions, the laparoscopic partial splenectomy is an alternative, which is technically difficult but effective. We present a case of a 26-year-old woman with incidental evidence of a splenic cyst in an abdominal ultrasound scan. We performed a laparoscopic partial splenectomy to preserve the function of the spleen because of the patient's youth. Laparoscopic partial splenectomy allows the effective removal of lesions and preservation of splenic function. Although more research is needed to clarify the most effective approach, this case is further evidence that this surgical approach may be beneficial for selected patients.

Keywords: Laparoscopic partial splenectomy; Partial splenectomy; Splenic cyst; hemi-splenectomy.

Figure 1

Abdominal computed tomography showing cystic lesion 9 × 6.2 cm

Figure 2

Patient in supine and 45-degree right lateral position and location of ports

Figure 3

Parenchymal section performed using the bipolar system

Figure 4

Partial splenectomy showing the cystic lesion